District 7 is pleased to offer enrichment opportunities for students in grades 3-8 during the summer
of 2021. Space in these classes are first come, first serve until the classes are filled. This registration
form, along with payment, must be submitted no later than June 1, 2021.
Please return completed forms and payment to:
Summer Enrichment Registration
Attn: Barb Johnson
708 St. Louis Street
Edwardsville, IL 62025
Student Name: ______________________________________________________
Date of Birth: _______________________ Current Grade (2020-2021): ________
Address: ____________________________________________________________
Parent/Guardian 1: ______________________________________________________
Parent/Guardian 2: ______________________________________________________
Preferred Phone Contact(s):
Primary: ________________________
Secondary: ________________________
Preferred Email Address:
Primary: ________________________
Secondary: ________________________
***Health Information, Photo Release Permission and Technology Use Agreement information from the
2020/21 school year will be accessed throughout the summer school session. Should this information change,
please contact Tara Fox, Director of Curriculum & Instruction. ***
For questions, please contact Barb Johnson via email at bjohnson@ecusd7.org or via phone at (618)655-
6021
Checks should be made payable to: ECUSD #7
