UACHS Summer 2023 Programs and Field Trips
In July and August, UACHS is offering a wide variety of opportunities for returning students (rising sophomores, juniors, and seniors) to learn and explore. Don't miss out! Register today!
  • July 10-August 24: College/Career Bootcamp and College Visit Tour (rising seniors -- class of 2024)
  • July 24-27: Science Learning Acceleration, Summer Reading Camp, and Hiking Field Trip
  • August 7-11 and 14-17: Summer Rock Music Intensive
  • August 15: History/Science Field Trip to the Intrepid (NYC)
See further course and field trip details here: 

Registrations will be accepted on a first-come, first-served basis. Spaces in each program are limited. All fields below must be completed, as this form also serves as a parental permission slip for the field trips. All field trips will be chaperoned by UACHS faculty and staff, and will travel via bus.
Sign in to Google to save your progress. Learn more
Student Name *
Grade during 2023-2024 school year *
Seniors (Class of 2024): Which program and/or college visit(s) would you like to register for?
Which learning acceleration and enrichment programs would you like to sign up for? (open to all returning students)
Short Term Illness and Infection
Medication will not be given for any pre-existing short-term illness or infection on a field trip. Children who are ill must remain at home and rest.

Parents will be contacted in case of serious sickness or accident; however, an emergency situation may require immediate medical attention during the excursion. Please provide two (2) phone numbers where a parent, guardian, or authorized person may be reached to give consent to medical treatment.
Emergency Contact #1: Name, Relationship to Student, and Phone Number *
Emergency Contact #2: Name, Relationship to Student, and Phone Number *
In the event such persons cannot be reached, the following consent will be used:
By providing my name and phone number below, I, parent/guardian of the student named above, give my permission in case of emergency for a qualified medical doctor to administer any treatment and/or medication to my child.
Parent/Guardian Name and Phone Number *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University Academy Charter High School. Report Abuse