Summer School Registration
Utilize this form to register your scholar for classes.
Email *
Scholar Name *
Birthday *
MM
/
DD
/
YYYY
Gender *
Scholar Address *
Home Phone Number *
Emergency Contact (Name-Relationship-Phone#) *
Parent Name *
Parent Cell Phone Number *
Photography Permission *
Required
Transportation *
Required
Attendance *
Required
Discipline *
Required
Food *
Required
Uniform *
Required
A copy of your responses will be emailed to the address you provided.
Submit
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