2019 BCA Summer School Registration
BCA welcomes students entering Pre-K through 5th grade to join our Summer School!

★ More Information: https://www.bcacademy.com/programs/summerschool/
★ Contact: summer@bcacademy.com

ACH Form for new student(s): https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=c5821480-7fbe-455d-8533-96f9a2549821


For Japanese Summer School Registration, please visit http://www.bcasaturdayschool.com/page/summer.
日本語サマースクールの申し込みはこちらのサイトへ http://www.bcasaturdayschool.com/page/summer

Email address *
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Gender *
Student's Grade (Fall 2019) *
Student's School *
Please choose the most appropriate response. If other, please identify the school where your child will attend for the 2019-2020 School Year.
Parent1/Guardian1 Name *
Your answer
Parent1/Guardian1 Phone # *
Format: 111-111-1111
Your answer
Parent2/Guardian2 Name *
Your answer
Parent2/Guardian2 Phone # *
Format: 111-111-1111
Your answer
Student's Address *
Your answer
Emergency Contact Name and Relationship to student *
Your answer
Emergency Contact Phone # *
Format: 111-111-1111
Your answer
Does your child have any allergies that we should be aware of? *
If YES, please list all allergies. If NO, please type NO *
Your answer
Photo/Video Release *
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