TPS Summer Enrichment Program Registration
For detailed information please refer to our website www.thepiedmontschool.com under Student Life. The Summer Enrichment Program is a 4 week program that runs June 19th-July 21st and is closed the week of July 4th-July 8th. The program is open to rising kindergarteners through rising 7th graders. 


Registration is for all 4 weeks. Non-refundable $200 deposit (balance due by 6/1)

TPS Family Rate : $500
Community Rate: $700

Sign in to Google to save your progress. Learn more
Registrant's Full Name: *
Are you a current TPS Family or are you enrolled at TPS for the Fall of 2023? *
Registrant Parent/Guardian Name: *
Registrant's Current School *
Registrant's Grade Level *
Parent/Guardian Home Address *
Parent/Guardian Email Address: *
Parent/Guardian Day Time Phone Numbers (please include numbers where you could best be reached during the enrichment program times) *
Emergency Contact and Number *
Academic Concerns (if any): *
Health Concerns (please include allergies, any medications needed to be taken during enrichment program hours, etc). If none, please write "none" or "N/A" in the box below. *
Pay your deposit by clicking the link below. Registration is not complete until the $200 deposit is paid!
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Piedmont School. Report Abuse
Google Forms