HAAH Remote Learning Registration 2020

HAAH REMOTE LEARNING REGISTRATION

Welcome to High Achievers Aim High 2022 Remote Learning Program. This educational program is designed for children in grades K-8th. Program Information: All applicants are responsible for a $25 registration fee plus tuition with application. Tuition for High Achievers is $125 per week. Schedules run from 7am-3pm daily, with after-care available between the hours of 3pm-6pm for $50 additional per week. Your child will receive FREE Breakfast and Snacks, Lunch will not be provided. High Achievers will follow schedules assigned by their teachers and will be overseen by Licensed teachers and educators. Students must bring laptop/tablets fully charged provided by their schools & all other necessary books & materials (classwork, homework, notes, activities and/or assignments) daily. All fees are non-refundable.
Child Name 1
Gender
Age and D.O.B
Grade
School
Student Email
example@example.com
Student Email Password
example@example.com
Child Name 2
Gender
Age and D.O.B
Grade
School
Student Email
example@example.com
Student Email Password
example@example.com
Child Name 3
Gender
Age and D.O.B
Grade
School
Student Email
example@example.com
Student Email Password
example@example.com
Child Name 4
Gender
Age and D.O.B
Grade
School
Student Email
example@example.com
Student Email Password
example@example.com
Parent Name
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Teacher Name
Teacher Email
example@example.com
Is it ok to text?
After Care (3pm-6pm) Yes or No *ADDITIONAL $50/WEEK*
Please list other adults authorized to pick up your child(ren): Name, Relationship and Phone Number
Will the Child(ren) need to take any medications during camp? (if so, please list, if more than one child, list by name)question
Does your child have any specific needs?
Emergency Contact Name and Number
Health Insurance Carrier, Name of policy holder, Identification Number and Group Number
How did you hear about High Achievers Aim High?
Please Upload High Achievers Schedule and Login Codes

Browse Files
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Thank you for your interest in our program! Once we receive your application, you will receive an invoice to complete registration.
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HAAH REMOTE LEARNING REGISTRATION