Summer Application Form 2023

Parent or Guardian Namerequired

First Name

Last Name

Email Addressrequired

Mailing Address

Phonerequired

Student Namerequired

First Name (optional)

Last Name

Student Birthdayrequired

Must contain a date in M/D/YYYY format

Current Grade Level for 2022-23 School Yearrequired

Student Grade Level for Fall 2023required

Current school

CORE Program (June 14 - July 14 - 8:30 am - 12:30 pm)required

Afternoon Enrichment Options - SESSION 1 - June 15 - June 29 (M-TH Only; No classes on Monday, June 19; 1:00 pm - 3:15 pm)required

Afternoon Enrichment Options - SESSION 2 - July 3 - July 13 (M-TH only; No classes on July 4, 1:00 pm - 3:15 pm)required

IMPORTANT: No payment is due at this time. You will be contacted by Danielle Patterson, director of outreach and family engagement, with more information and next steps.

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