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Session I (Grades K-2) Registration Form
Dates: June 15th - June 26th
Location: Holy Name School, 1560 40th Ave, San Francisco, CA 94122

Prices for two-week session:     
$ 1,200 Full Day 
$ 600 Half Day (AM or PM) 
$ 100 for AM Extended Care
$ 100 for PM Extended Care
(Drop-in Extended Care will be $ 30 per day, whether for AM, PM, or both.)

Once you have completed the form, submit it, and you will be taken to a payment link. Follow the link to submit payment via PayPal. 

If you choose to pay by check, make the check payable to GATE, deduct $ 10 from the total, and then mail or drop off the check to 321 Taraval St, San Francisco. There is a $ 10 discount if you pay by check.

REGISTRATION IS NOT PROCESSED UNTIL PAYMENT IS RECEIVED.  
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Email *
Instructions:
Please choose ONE Morning Class (9 am - 12:30 pm) and/or ONE Afternoon Class (1 pm - 4 pm), plus a second choice for each.  

Morning blocks also include:
1. Daily Awards Assembly 
2. Music Class 
3. Recess and Games 
Morning Class: 9 am - 12:30 pm
FIRST CHOICE
*
Morning Class: 9 am - 12:30 pm
SECOND CHOICE
*
Afternoon Class: 1 - 4 pm
FIRST CHOICE
*
Afternoon Class: 1 - 4 pm
SECOND CHOICE
*
Student's First Name *
Student's Last Name *
Student's Date of Birth *
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Student's Grade in the Fall *
Student's School in the Fall  *
Friend Request 
Please list any friends you would like to have in class with you. We do our best to honor friend requests. 
T-shirt Size *
Mailing Address  *
Parent/Legal Guardian First Name   *
Parent/Legal Guardian Last Name  *
Parent/Legal Guardian Phone Number  *
Additional Parent/Legal Guardian Phone Number *
Additional Parent/Legal Guardian Email Address 
Student Allergies/Other Differences *
Please list any serious allergies or any behavioral, social, or other differences of which we should be aware. 
Emergency Form (Required)
Submit your completed Emergency Form to infosummergate@gmail.com or mail to 321 Taraval St, San Francisco, CA 94116. 
Financial Aid
To be considered and have eligibility determined for financial aid, submit your completed Application for Financial Aid and supporting documents to infosummergate@gmail.com or mail to 321 Taraval St, San Francisco, CA 94116.
Liability Waiver and Release (Required) *
I, as a parent or legal guardian of the child named above, have the authority to sign this liability waiver and release agreement on behalf of my child, myself, and all family members.

I acknowledge and understand that my child's participation in SummerGATE may involve risks of "Loss," defined to include (without limitation) injury, disability, disfigurement, illness, death, property damage, economic loss, and other losses, present and future. Such Loss might result wholly or partly, or directly or indirectly, from my child’s actions, inactions, negligence, or intentional acts, or from the actions, inactions, negligence, or intentional acts of others, including but not limited to other children, adults, people, animals, objects, food, liquids, gases, natural forces, events, sounds, tools, equipment, and conditions of the premises, or indeed through no fault of anyone or anything. I further acknowledge and understand that there may be risks of Loss not mentioned here, as well as risks of Loss that may be known or unknown, foreseeable or unforeseeable, expected or unexpected, imagined or unimagined, and predictable or unpredictable. ALL risks of Loss and all types of Loss are encompassed herein.

The "Released Parties" are defined to include (without limitation) SummerGATE, Gifted and Talented Education, their affiliated organizations, and all of their employees, teachers, assistants, volunteers, agents, administrators, staff members, independent contractors, board members, officers, affiliates, and other associated people and entities, including without limitation the owners and personnel of the facilities and venues used by SummerGATE.

I hereby assume ALL risks of Loss for which I, my child, or any family member might make a claim against any of the Released Parties. I hereby accept personal responsibility, vis-à-vis the Released Parties, for ALL damages that result or might result from such Loss.

On behalf of myself, my child, and all family members, I hereby release, discharge ALL claims against, waive ALL rights against, and agree not to sue, make any claims against, or seek any compensation or damages from the Released Parties for any Loss or liability that arises from or is connected with, in any way whatsoever, my child’s presence at or participation in SummerGATE or presence at any of the facilities or venues used by SummerGATE during the SummerGATE program. 

I hereby agree to defend, indemnify, and hold harmless the Released Parties with respect to any claims or suits that might be asserted by anyone (including without limitation by myself, my child, family members, or any others, including other SummerGATE participants or their families) against any of the Released Parties, where the theory of the Released Parties' liability, whether vicarious or direct or other, is based wholly or partly on the acts or omissions of my child or on the acts or omissions of any of the Released Parties in connection with my child.

Signing this liability waiver and release agreement is a condition of my child's participation in SummerGATE.

I have read and understood the foregoing and acknowledge that I am giving up substantial rights by signing this agreement. I sign this liability waiver and release agreement voluntarily. Please sign below to indicate your agreement.
Payment Method *
Please check the boxes that apply. If paying by check, please check the appropriate box. Once the form is complete, submit it, and you will be taken to a payment link. Follow the link to submit payment via PayPal. If you choose to pay by check, make the check payable to GATE, deduct $ 10 from the total, and then mail or drop off the check to 321 Taraval St, San Francisco, CA 94116.

 The following schools or programs are considering part of our “Friends of SummerGATE” discount: San Francisco Youth Chorus, A.P.G Middle School, Lawton K-8, Robert Louis Stevenson, Sunset, Francis Scott Key, St. Gabriel School, Brandeis School, Alice Fong Yu, and Holy Name School. These schools have partnered with SummerGATE over the past ten years and are considered SummerGATE supporters. These families will receive 10% off their enrollment. Use the code FriendsofSummerGATE at checkout!

The registration will not be processed until payment is received. 
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