The Program - Preregister

The Summer Advancement Program
August 2 - 27, 2021
Pre-Register Below

Please compete the form below. If you have more than one child whom you wish to admit to the program, please complete a separate form for each one. (Please note that pre-registration does not guarantee entry into the program.)

Pre-Registration Form
Please be assured that your information is treated as confidential.

* Indicates required field

Your Name *

First

Last

address *

City, State, Zip *

Phone Number *

Email *

Your Child's Name *

First

Last

Your Relationship with the Child Listed Above *

Your Child's School *

Your Child's LAST Grade Level - Click Arrow for All Options *

Your Child's Ethnic Background (Check all that apply.) *

Other (Description of Ethnic background) *

Does you child have an IEP or 504 plan? *

Yes No I'm not sure

Please share any other comments or questions below. *

Submit

About the Program

The Summer Advancement ProgramAugust 2 - 27, 2021​Pre-Register Below

Pre-Registration FormPlease be assured that your information is treated as confidential.

The Summer Advancement Program
August 2 - 27, 2021
Pre-Register Below

Pre-Registration Form
Please be assured that your information is treated as confidential.