Child's Name: *

First Name

Last Name

Child's Birthdate:

MM

DD

YYYY

Child's Home Address: *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Yes, pictures are OK with me

Yes

No, pictures are not OK

No

STUDIO IMMERSION - GRADES 6-8

July 20th, 2020 - July 24th, 2020 2p - 6p $375

YES

NO

DAY PROGRAM - GRADES K-5th WEEK 1

WEEK 1 - July 27th, 2020 - July 31st, 2020

9am - 12pm ($250 - 3 hours/day Mon-Fri)

2pm - 5pm ($250 - 3 hours/ day Mon-Fri)

9am - 5pm ($550 - 8 hours/ day Mon-Fri)

DAY PROGRAM - GRADES K-5th WEEK 2

WEEK 2 - August 3rd, 2020 - August 7th, 2020

9am - 12pm ($250 - 3 hours/day Mon-Fri)

2pm - 5pm ($250 - 3 hours/ day Mon-Fri)

9am - 5pm ($550 - 8 hours/ day Mon-Fri)

DAY PROGRAM - GRADES K-5th WEEK 3

WEEK 3 - August 10th, 2020 - August 14th, 2020

9am - 12pm ($250 - 3 hours/day Mon-Fri)

2pm - 5pm ($250 - 3 hours/ day Mon-Fri)

9am - 5pm ($550 - 8 hours/ day Mon-Fri)

Applying For Sliding Scale Scholarship?

Yes

No

Please contact me. I am interested in:

Sibling Discount

Sliding Scale Scholarship

Other