2019 Summer Academy Registration

Step 1 of 3: Submit

Please complete this form and proceed to payment to register your child for Summer Academy.

Student Information

Student Primary Address

Parent/Guardian 1 Contact Information

Parent/Guardian 2 Contact Information


Select the weeks your child will attend:

Note: Selections below are arranged by grade level. Please select only the sessions that are age-appropriate for your child.

Eaglets: Preschool

Eaglets FULL Day Sessions (8:30 am - 3:00 pm)
Eaglets HALF Day Sessions (8:30 am - 12:00 pm)

Rising Eagles: Rising K-4th Grades

Rising Eagles FULL Day Sessions (8:30 am - 3:00 pm)
Rising Eagles HALF Day Sessions (8:30 am - 12:00 pm)

Soaring Eagles: Rising 5th-8th Grades

Soaring Eagles FULL Day Sessions (8:30 am - 3:00 pm)
Soaring Eagles HALF Day Sessions (12:00 - 3:00 pm)

Before and After Care Options

Before Care (7:30 - 8:30 am)
After Care (3:00 - 5:00 pm)

T-shirt Information


Emergency Contact (other than parent/guardian)

In the event of an emergency, parents/guardians will always be the first point of contact. Please list someone other than those already listed we can contact if you are unable to be reached.

Permission to Pick Up

List name, relationship, and phone number for individuals (other than parent or guardian) with permission to pick up your child.

Authorized Pickup

Authorized Pick Up

Authorized Pick Up


Student Medical Information

How Did You Hear About Us?

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