Bearcat Blast Summer Experience Waitlist Signup

Battle Creek Public Schools’ Bearcat Blast Summer Learning Experience is an opportunity for all enrolled BCPS students to have fun during the summer while learning together with friends – at no cost to families!

The registration period for summer 2022 is now closed. Please complete the registration packet below if you would like to sign your student up to join the waitlist.

Student Information

Student's Current School *

Student's Current School (If other is selected) *

Student's First Name *

Student's Last Name *

Student's Date of Birth * +

Student's Current Grade *

Student's Gender *

Male

Female

Other

Gender (If other is selected) *

Student's Shirt Size *

Student's Shirt Size (If other is selected) *

Student's Home Address *

City *

State *

Zip Code *

Primary Phone Number *

Student's Primary Language *

English

Spanish

Other

Language (If other is selected) *

Student Ethnicity (Check all that apply): *

Student Ethnicity (If other is selected) *

Are siblings enrolled in 21st Century? *

Yes

No

Which school(s) do the student's siblings attend? *

Name of sibling(s) *

How will my student get to & from the program?

AM Transportation *

Walk (within a mile of site)

Bus (elementary closest to home)

Will be dropped at site

PM Transportation *

Walk (within a mile of site)

Bus (elementary closest to home)

Will be dropped at site