Summer Academic Camp
We appreciate you participating in our Summer Educational Program. We will start on July 5, 2021 and will end on September 3, 2021 from 7:00am-5:30pm or half day 7:00am-12:00pm (Monday-Friday-ACADEMICS ONLY for Half Day). If you need care outside of these hours please note it on this form. After this is completed, you get a separate invoice via email. Full day is $175 per week, Half Day is $80 per week, 3 Full Days $125 (Monday,Tuesday,Wednesday) Transportation is also available for an additional fee.
Email *
Student Name (First and Last name) *
Birthday *
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Last Grade Completed *
T-Shirt Size (Youth Size) *
Does the Student have any Allergies (if yes, list under *
Parent Name (First and Last Name) *
Parent Phone Number (include are code) *
Method of Payment *
Do you need additional care? *
Will you need transportation? *
How did you hear about this program *
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