Santo Niño Regional

Catholic School Servicing Pre K - 6th

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Academic Summer Program Form

- Community

Academic Summer Program Enrollment Request Form
The maximum number of form submissions has been reached. This form is currently not available.
- Tuesday, June 15, 2021- Thursday, July 15, 2021
  
  Tuesday, Wednesday, Thursday
  
  $50 Registration Fee:
  This fee is non-refundable, unless the program is cancelled due to renewal of limits on social gathering mandated by the state or Archdiocese. Must be paid by April 30, 2021.
  
  $250.00 Program Fee, must be paid in full prior to first day of program.
  
  All fees can be paid in person at the school, please use the envelopes provided and place payment in the dropbox.
- 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 (2020/2021) REQUIRED 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 (2020/2021) REQUIRED 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 (2020/2021) REQUIRED 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 (2020/2021) REQUIRED 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 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 Maximum 20 characters 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
  
  Zip Please enter a zip code.
  
  Email Please enter an email address.
  
  Phone Number Maximum 20 characters Please enter a phone number.
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