Summer Program 2023 Summer Program 2023 Summer Program Registration FormChild’s Name* First Last REGISTRATION AND SUPPLIES FEES ARE PAYABLE UPON REGISTRATION AND ARE NON-REFUNDABLE• All tuition payable by May 31st, 2022 and are non-refundable. • Option to pick one session or both sessions. • A sibling discount of 10% is given off of the higher session fee.Child 1 Supplies Fees Price: $100.00 Child 1 Registration Fees Price: $150.00 Please select weeks:* July 5, 2023 – July 31, 2023 August 1, 2023 – August 11, 2023 Please circle session attending (July 5, 2023 – July 31, 2023):*Five Mornings 8:30– 11:30Five Afternoons 12:30 – 3:30Five Full Days 8:30 – 3:30Please circle session attending (August 1, 2023 – August 11, 2023):*Five Mornings 8:30– 11:30Five Afternoons 12:30 – 3:30Five Full Days 8:30 – 3:30Add another child?*yesnoChild 2Child’s Name* First Last Child 2 Supplies Fees Price: $100.00 Child 2 Registration Fees Price: $150.00 Please select weeks:* July 5, 2023 – July 31, 2023 August 1, 2023 – August 11, 2023 Please circle session attending (July 5, 2023 – July 31, 2023):*Five Mornings 8:30– 11:30Five Afternoons 12:30 – 3:30Five Full Days 8:30 – 3:30Please circle session attending (August 1, 2023 – August 11, 2023):*Five Mornings 8:30– 11:30Five Afternoons 12:30 – 3:30Five Full Days 8:30 – 3:30Add another child?*yesnoChild 3Child’s Name* First Last Child 3 Supplies Fees Price: $100.00 Child 3 Registration Fees Price: $150.00 Please select weeks:* July 5, 2023 – July 31, 2023 August 1, 2023 – August 11, 2023 Please circle session attending (July 5, 2023 – July 31, 2023):*Five Mornings 8:30– 11:30Five Afternoons 12:30 – 3:30Five Full Days 8:30 – 3:30Please circle session attending (August 1, 2023 – August 11, 2023):*Five Mornings 8:30– 11:30Five Afternoons 12:30 – 3:30Five Full Days 8:30 – 3:30Add another child?*yesnoChild 4Child’s Name* First Last Child 4 Supplies Fees Price: $100.00 Child 4 Registration Fees Price: $150.00 Please select weeks:* July 5, 2023 – July 31, 2023 August 1, 2023 – August 11, 2023 Please circle session attending (July 5, 2023 – July 31, 2023):*Five Mornings 8:30– 11:30Five Afternoons 12:30 – 3:30Five Full Days 8:30 – 3:30Please circle session attending (August 1, 2023 – August 11, 2023):*Five Mornings 8:30– 11:30Five Afternoons 12:30 – 3:30Five Full Days 8:30 – 3:30Total $0.00 Parent Name*Email* Signature*Date* Date Format: MM slash DD slash YYYY
