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Summer Registration
Pace Brantley School Summer School Program 2017
Registrations and fees are due by May 19, 2017. Make all checks payable to Pace Brantley.
Please fill out one form per family.

*Summer school is contingent upon student enrollment
** $100.00 non-refundable deposit due at time of registration. Remaining balance due 6/9/2017.
If for some reason summer school is cancelled you will be refunded the $100.00 deposit.

Email address *
Parent/Guardian *
Your answer
Address *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Student Name *
Your answer
Student Name (if more than one child)
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Date of Birth (if more than one child)
MM
/
DD
/
YYYY
Grade entering in 2017/18 school year *
Your answer
Grade entering in 2017/18 school year (if more than one child)
Your answer
Sessions and Options *
Required
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