Stanford Honors Academies Registration Form
SUMMER 2019 REGISTRATION FORM
JUNE 10 -21, 2019

Deadlines & Tuition: Friday, June 7 - $1,550. Tuition for the program is $1,300 if the non-refundable deposit is paid by April 30.

Deposit: $300 non-refundable deposit; make checks payable to York School. Mail to:
York School
Attn: Stanford Program Coordinator
9501 York Road
Monterey, CA 93940
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STUDENT INFORMATION
First Name *
Last Name *
Student Preferred Name
Date of Birth *
MM
/
DD
/
YYYY
Gender
Current School *
2018-19 Grade *
Course Selection - First Choice *
Classes will be filled on a first come, first served basis. Every effort will be made to give you your first choice class.
Course Selection - Second Choice
How did you hear about this program? *
PARENT / GUARDIAN I
Name *
Relationship to Applicant *
Home Address *
Address, City, State, Zip Code
Telephone *
Please indicate phone type (home, cell, or work)
Email Address *
Clear selection
Will you be providing a second parent / guardian information?
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