Online Registration

Grades K through 1

Student's Name:
Male or Female
Birth Date:
Grade in Fall 2006:
T-shirt:
Parent or Guardian's Name:
Address:
City:
Zip:
Home Phone:
Email address:
Mom's Work Phone:
Mom's Cell Phone:
Dad's Work Phone:
Dad's Cell Phone:
Select the Session(s): (You may pay later)

Session I: Vacation Bible School June 21 - July 2
          Extended Care (M-F) (M/W/F) (Tu/Th)
Full Day (8:00am—3:00pm) $350       AM only (7am-8am) $29 $19 $14
Half Day (8:00am—12:00pm) $250       PM only (3pm-6pm) $79 $50 $34
          AM and PM $95 $58 $42
  Deposit of $100 per session due June 1. All Deposits are non-refundable.
  Complete payment due the first day of each new session.

Session II: Summer Camp I July 5 - July 30
          Extended Care (M-F) (M/W/F) (Tu/Th)
Full Day (8:00am—3:00pm)
M through F 		$740       AM only (7am-8am) $58 $37 $27
Full Day (8:00am—3:00pm)
M/W/F 		$575       PM only (3pm-6pm) $158 $100 $68
Full Day (8:00am—3:00pm)
T/TH		 $425       AM and PM $189 $115 $84
  Deposit of $100 per session due June 1. All Deposits are non-refundable.
  Complete payment due the first day of each new session.

Session III: Summer Camp II Aug. 2 - Aug. 27
          Extended Care (M-F) (M/W/F) (Tu/Th)
Full Day (8:00am—3:00pm)
M through F 		$740       AM only (7am-8am) $58 $37 $27
Full Day (8:00am—3:00pm)
M/W/F 		$575       PM only (3pm-6pm) $158 $100 $68
Full Day (8:00am—3:00pm)
T/TH		 $425       AM and PM $189 $115 $84
  Deposit of $100 per session due June 1. All Deposits are non-refundable.
  Complete payment due the first day of each new session.

A calendar of events, special program information, emergency cards and other pertinent information will be provided. Please submit a copy of your child’s immunization record with your registration, if you are new to the Academy. No child will be allowed to attend a session without proper documentation.

A Sibling Discount is offered for multiple family members in the same session.

Please contact Lori Burwell with any questions about our Summer Camp or 2-Yr-Old and 3-Yr-Old programs (949) 837-4530, ext. 225.