2021 Transfiguration School Summer Institute
Thank you for registering your child(ren) in our Summer Institute 2021. Please complete the following form to finish your registration process.

Registration, health info, emergency contact, and dismissal authorization to be completed for each student enrolling for the 2021 Transfiguration School Summer Institute.

$300 non-refundable deposit due upon registration to confirm a seat for your child in the program. The balance will be due May 15th.

In addition to your registration below, please prepare to submit your child's health examination form and family handbook forms. We will send you a prompt to complete these items.

Contact info@transfigurationschoolnyc.org with questions.
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Child's Last Name *
Child's First Name *
Child's Middle Name (if any)
Date of Birth (MM/DD/YYYY) *
Gender assigned at birth *
Is the child currently enrolled at Transfiguration School? *
If the child is currently not enrolled at Transfiguration School, please list the name of the current school and grade completed as of June 2021. (Please provide the most recent report card to admissions@transfigurationschoolnyc.org). Families will be notified via email once accepted.
Incoming Grade for 2021-22 School Year *
What tee-shirt size is your child? *
Child's Cell Phone (if applicable)
Parent #1 Full Name (primary contact) *
Parent #1 Mobile Number *
Parent #1 Work Number
Parent #1 Primary e-mail address for all school communications *
Parent #2 Full Name (secondary contact)
Parent #2 Mobile Number
Parent #2 Work Number
Parent #2 Primary e-mail address for all school communications *
Full Home Address (include apartment, city, state, zip) *
Home Phone (Optional)
Doctor's Name *
Doctor's Address (optional)
Doctor's Telephone Number *
Hospital Name (preference) *
Known allergies *
Does your child require an EpiPen? *
Special medical/emotional/behavioral considerations (if any)
Primary Emergency Contact's First & Last Name (Other than Parent/Guardian) *
Relationship to child *
Emergency Contact's Cell Phone *
Dismissal Person #1 First and Last Name (person authorized to pick up your child from Transfiguration School - I understand that it is my responsibility to inform the school staff of any additions to, deletions from, or changes to this form) *
Relationship to Child (Dismissal #1) *
Dismissal Person #1 Phone Number *
Dismissal Person #2 First and Last Name (person authorized to pick up your child from Transfiguration School - I understand that it is my responsibility to inform the school staff of any additions to, deletions from, or changes to this form) *
Relationship to child (Dismissal #2) *
Dismissal Person #2 Phone Number *
Do you Give Transfiguration School the permission to use your child's photographs and/or videos for school material/ social media purposes? *
Parent's Signature (signed electronically) *
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