2021 St. John's Preschool Summer Program Registration Form
Please complete one registration form per child. Your child's space can only be confirmed once the 50% tuition deposit is received. Please pay the 50% deposit by check or bank initiated check.
By using your e-signature to complete this form, you agree to the terms outlined in the 2021 Summer Program Information Brochure.
* Required
Email address
*
Your email
Child's Last Name:
*
Your answer
Child's First Name (include preferred name):
*
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
Tuition Details
Please enroll my child in:
*
Preschool Links, Session I
Preschool Links, Session II
Preschool Links, Both Sessions
Summer Connections, Session I
Summer Connections, Session II
Summer Connections, Both Sessions
Summer Explorers, Session I
Summer Explorers, Session II
Summer Explorers, Both Sessions
Required
Parent 1 Name:
*
Your answer
Parent 1 Phone:
*
Your answer
Parent 2 Name:
*
Your answer
Parent 2 Phone:
*
Your answer
Parent 2 Email:
*
Your answer
Child's address:
Your answer
Please tell us about your child's previous school/camp experiences:
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Your answer
Please describe any special needs the staff should be aware of to support your child:
*
Your answer
How did you learn of St. John's Summer Program
Current St. John's Preschool Family
Past St. John's Preschool Family
Current St. John's Summer Program Family
Other:
Clear selection
E-Signature:
*
Your answer
A copy of your responses will be emailed to the address you provided.
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