Summer Program Registration 2020
Please fill out one form for each child
Email address *
Name of Parent/Guardian *
Your answer
Name of Child *
Your answer
Age of Child *
Your answer
Week 1 June 1-5 *
Full day (4+ hours)
Half Day (less than 4 hours)
None
Monday
Tuesday
Wednesday
Thursday
Friday
Week 2-June 8-12 *
Full day (4+ hours)
Half Day (less than 4 hours)
None
Monday
Tuesday
Wednesday
Thursday
Friday
Week 3 June 15-19 *
Full day (4+ hours)
Half Day (less than 4 hours)
None
Monday
Tuesday
Wednesday
Thursday
Friday
Week 4 June 22-26 *
Full day (4+ hours)
Half Day (less than 4 hours)
None
Monday
Tuesday
Wednesday
Thursday
Friday
Week 5 Jun 29-July 3 *
Full day (4+ hours)
Half Day (less than 4 hours)
None
Monday
Tuesday
Wednesday
Week 6 July 6-10 *
Full day (4+ hours)
Half Day (less than 4 hours)
None
Monday
Tuesday
Wednesday
Thursday
Friday
Week 7 July 13-17 *
Full day (4+ hours)
Half Day (less than 4 hours)
None
Monday
Tuesday
Wednesday
Thursday
Friday
Week 8 July 20-24 *
Full day (4+ hours)
Half Day (less than 4 hours)
None
Monday
Tuesday
Wednesday
Thursday
Friday
Note to Staff
Your answer
I understand that $100 is due prior to the first day of attendance. (This amount will be credited to your account.) *
Required
Pricing
Full day (4+ hours) $30
Half day (less than 4 hours) $20
Before care and after care $6 an hour
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