Sacred Heart Summer Program Application 2022
     Spanish Immersion Program: PK3 -2nd grade           STEM Discovery Program: 3rd - 8th grade  


When: June 27- July 22, 2022

Who: Serving Students Rising into PK3 through 8th grade

PK3-8th grade:
Arrival: 8:00-8:15am
Instructional time: 8:30am - 2:20pm
Dismissal: 2:30-2:45pm

Program fee: $1,000 (4 week program)
- Cost per week: $250

Application deadline: June 1st, 2022

Please contact the office if you have any questions at 202-265-4828 or beverly.bonilla@catholicacademies.org
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Email *
Student Full Name (First & Last Name): *
Permanent Address: *
Student Date of Birth *
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Age *
Gender *
Current Grade SY 21-22 *
Parent/Guardian's Name (First & Last name) *
Parent - Home Phone Number *
Parent - Cell Phone Number *
Emergency Contact Name *
Emergency Contact Phone Number *
Emergency Contact -Relationship (Aunt, Uncle, etc.) *
I, give my son/daughter permission to participate in short walking trips within walking distance of Sacred Heart School. I, understand that this request will enable my/our son/daughter to visit the following areas throughout the school year: The Shrine of the Sacred Heart, Mount Pleasant Library, Mount Pleasant/Adams Morgan Area.
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Publicity Release: Sacred Heart School and the Archdiocese of Washington have opportunities throughout the summer to promote education through news stories in radio, TV, print and electronic media. Sacred Heart School has my permission to use my child’s photograph publicly to promote the school. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use. *
Medical Release: In case of an emergency, the Sacred Heart School procedure will be to contact the parent at home or work. If unable to reach either parent, we will contact the next emergency contact listed. I will not hold the school financially responsible for any emergency care or transportation of said child.                                    
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I would like to register for the following week(s): *
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In order to finalize the application process payment must be submitted. Please visit https://catholicacademies.org/summer-program to make payment.   *
A copy of your responses will be emailed to the address you provided.
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