Upward Bound

Summer Academy 2020

With Y.O.U. (Youth Opportunities Unlimited)

Registration will take place until Monday April 27, 2020.

Parents are asked to complete the bottom section of this registration form. Return your completed registration

form to the Upward Bound office. If you plan to participate in Y.O.U. the deadline for Summer registration is

March 6, 2020.

Attend the Summer Academy Orientation on Saturday, June 6, 2020. More information about the

orientation will be sent out as the date approaches. Students are required to attend this orientation before the

summer program.

Students, please encourage your parent or guardian to attend orientation with you.

Upward Bound

Student Name: __________________________________________________________________________________

Street Address / City / Zip: _________________________________ Home Phone: ( ) _______________________

Student’s Current High School: ________________________Email: ________________________________________

In the FALL of 2020 I will be in the (circle one): 9th 10th 11

th 12

th

Tee Shirt Size S M L XL XXL

Father/Guardian: ______________________________ Daytime phone: ( ) _____________________________

Address: _________________________________________ City/State/Zip: ________________________________

Mother/Guardian: ______________________________ Daytime phone: ( ) ____________________________

Address: _________________________________________ City/State/Zip: ________________________________

Parent’s email: _________________________________________________________________________________

The Summer Academy offers students an exciting

and engaging program of academic instruction,

career, college and personal development

activities. Meals, instructional supplies, bus tickets

and other items will be provided. All services and

activities are FREE for the students and families

whom we serve.