2023 ASCS Summer Enrichment Program Registration Form
The Summer Enrichment program will run from June 12-July 21, 2023. The cost will be $200 - ($25.00 will go towards a non-refundable application fee, to reserve your spot) and $175.00 to be paid within the first week).  Camp hours will be M-F from 8am - 3pm. The will be an After camp program, 3 - 5 pm, at an additional weekly fee of $25.00. Please note that there may be additional fees for excursions/field trips. Please register early. There are a limited number of spots available. Payment is due by June 1; it is first come-first served. A waiting list has been started.

                                             
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Student is Entering Grade (2032-24) *
Date of Birth *
Allergies or Medications
Parent/Guardian Information
Parent/Guardian - 1 - Name *
Parent/Guardian - 1 - Cell Phone # *
Parent/Guardian - 1- Email Address *
Parent/Guardian - 2 - Name
Parent/Guardian - 2- Cell Phone #
Parent/Guardian - 2- Email Address
Emergency Contact & Pick Up Authorization
Emergency Contact Person *
Emergency Contact Relationship *
Emergency Contact # *
Persons other than parents/guardians authorized to pick up your child. Please include Name, Contact #, & Relation.
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