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Jump Start 2024
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Email Address
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Student First Name
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Student Last Name
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Your answer
Grade Student will be in for 2023-2025
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Kindergarten
First Grade
Second Grade
Third Grade
Parent Name
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Your answer
Parent Phone Number
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Any health concerns our instructors should be aware of?
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Emergency Contact Name (in the event a parent can not be reached)
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Your answer
Emergency Contact Phone Number
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Enroll My Child in Session I as Indicated Below
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Intro to Kindergarten
First Grade Math
Second Grade Math
Third Grade Math
Enroll My Child in Session II as Indicated Below
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First Grade Reading
Second Grade Reading
Third Grade Reading
By typing your name below you agree that your child understands that proper behavior and respect will be observed at all times. Failure to do so may result in dismissal from the JumpStart Program.
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By typing your name below, you acknowledge that the instructor does not carry health or accident insurance and that you, as parent or guardian, will be responsible for all bills incurred and will not hold St. Vincent de Paul liable.
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