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COOL SUMMER EXPERIENCE

REGISTRATION FORM

COOL SUMMER EXPERIENCE

REGISTRATION

June 15th- July 24th, 2026

Student's Name / El nombre del estudiante

Registration for all grades is Open

First Name

Last Name

Gender / Género

Date of Birth / Fecha de nacimiento * required

New or Returning student / Estudiante nuevo o que regresa *

New student / Nuevo estudiante

Returning student / Estudiante que regresa

Student's Age / Edad del estudiante

Student's school / Escuela del estudiante

Grade of student / Grado del estudiante

Student's Primary Address / Dirección principal del estudiante

1st Parent/Guardian's Name / Nombre del primer padre/tutor

First Name

Email

Last Name

Phone number / Número de teléfono

2nd Parent/Guardian's Name / Nombre del segundo padre/tutor

First Name

Email

Last Name

Phone number / Número de teléfono

Preferred language for communications / Idioma preferido para la comunicación *

English

Español

Other

Select an item ($) *

Register my child for 2026 CLE/CSE (full bill will be sent via email) - $1

Register my two children for 2026 CLE/CSE (full bill will be sent via email) - $1

Register my three children for 2026 CLE/CSE (full bill will be sent via email) - $1

NEED FINANCIAL ASSISTANCE: APPLICATION

Would you like to receive text alerts? / ¿Le gustaría recibir alertas de texto?

Thanks for submitting! Our staff will be following up with next steps.

Cool Learning Experience

coollearningexperience@gmail.com

Cool Learning Experience

401 N Genesee St.
P.O. Box 44
Waukegan, IL 60079

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