• Academic Summer Program Enrollment Request Form

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  • • Tuesday, June 9, 2020 - Thursday, July 16, 2020
    • Tuesday, Wednesday, Thursday
    • No School July 3, 2020

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     $50 Registration Fee:
    This fee is non-refundable, unless the program is cancelled due to continuing limits on social gathering mandated by the state or Archdiocese.
  • • Number of Students Enrolling REQUIRED Please fill out this field.
    • Student 1
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Current Grade (2019/2020) REQUIRED (Select One) Pre-K Kinder 1st 2nd 3rd 4th 5th 6th Please fill out this field.
    • Student 2
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Current Grade (2019/2020) REQUIRED (Select One) Pre-K Kinder 1st 2nd 3rd 4th 5th 6th Please fill out this field.
    • Student 3
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Current Grade (2019/2020) REQUIRED (Select One) Pre-K Kinder 1st 2nd 3rd 4th 5th 6th Please fill out this field.
    • Student 4
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Current Grade (2019/2020) REQUIRED (Select One) Pre-K Kinder 1st 2nd 3rd 4th 5th 6th Please fill out this field.
  • Parent/Guardian 1
    • First Name REQUIRED Please fill out this field. Please enter valid data.

      Last Name REQUIRED Please fill out this field. Please enter valid data.
    • City REQUIRED Please fill out this field. Please enter valid data.

      State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

      Zip REQUIRED Please fill out this field. Please enter a zip code.
    • Email REQUIRED Please fill out this field. Please enter an email address.
    • Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  • Parent/Guardian 2
    • First Name Please enter valid data.

      Last Name Please enter valid data.
    • City Please enter valid data.

      State None AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY

      Zip Please enter a zip code.
    • Email Please enter an email address.
    • Phone Number Please enter a phone number.

  Submit