Registration Form - Summer 2021

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

(June through early August)

Our Summer 2021 term will be divided into two sessions, each consisting of four classes. You may choose to enroll in one or both of the sessions. Each session will contain a different set of curricula.

Student's Name (First and Last) *

Student's Birth Date (mm/dd/yyyy) *

Student's Gender *

Male

Female

Parent or Guardian Name (First and Last) *

Email Address (Account info and correspondence will be sent to this email. This email will also be used to access the digital @Home subscription) *

Re-enter Email Address *

Phone Number *

Home Address *

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms