JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Summer At Action Day El Quito 2023 Enrollment
Summer at Action Day El Quito School welcomes campers from Jr. Kindergarten up to 4th Grade! Fill your kids' summer days with diverse experiences and activities!
Please fill out the below form to indicate their schedule for the summer.
Thank you!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Parent/Guardian First & Last Name:
*
Your answer
Parent/Guardian Phone Number:
*
Your answer
2nd Parent/Guardian First & Last Name
Your answer
2nd Parent/Guardian Email
Your answer
2nd Parent/Guardian Phone Number
Your answer
Child's First & Last Name
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Please select your child's desired schedule for June 5- 30 below.
5 days/week -Full Day- $1550 per month- save 20% per week when you pay monthly!
5 days/week- Part Time (9am-1pm)- $1120 per month
Pay By Week- Full Day- $465 per week
Pay By Day- $100 per day
If you are paying by week or by day for June, please indicate which weeks/days your child will attend:
Your answer
Please select your child's desired schedule for July 1- 31 below.
5 days/week -Full Day- $1550 per month- save 20% per week when you pay monthly!
5 days/week- Part Time (9am-1pm)- $1120 per month
Pay By Week- Full Day- $465 per week
Pay By Day- $100 per day
Other:
If you are paying by week or by day for July, please indicate which weeks/days your child will attend:
Your answer
Please select your child's desired schedule for August 1- 11 below.
5 days/week -Full Day- $775 per month- save 20% per week when you pay monthly!
5 days/week- Part Time (9am-1pm)- $565 per month
Pay By Week- Full Day- $465 per week
Pay By Day- $100 per day
Other:
If you are paying by week or by day for August, please indicate which weeks/days your child will attend:
Your answer
Additional Comments
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Action Day Schools.
Report Abuse
Forms
