Summer School Registration
Child's Name:
Date of Birth:
Parent's Name:
Phone:
Email:
Address:
Please check which program your child will join:
Morning – 3 Days
Morning – 4 Days
Morning – 5 Days
All-Day – 3 Days
All-Day – 4 Days
All-Day – 5 Days
If you choose 3 days or 4 days please further select the days below:
Monday
Tuesday
Wednesday
Thursday
Friday
Please check the box for each week your child will attend our summer school program:
Time
School
Bus PickUp
Bus DropOff
Week 1:
Week 2:
Week 3:
Week 4:
Week 5:
Week 6:
Week 7:
Week 8:
Week 9:
If your child will use the school bus, please answer the questions below:
What is the pick up address:
What is the drop off address:
Online:
3
Visited:
3937777
