HAAH Remote Learning Registration 2020

HAAH REMOTE LEARNING REGISTRATION

Welcome to High Achievers Aim High 2020-2021 Remote Learning Program. This educational program is designed for children in grades K-6th. Our program begins August 31, 2020. Program Tuition Information: All applicants are responsible for a $25 enrollment fee plus first week with application. Tuition for High Achievers is $125 per week. Schedules run from 8am-3pm daily, with after care available between the hours of 3pm-5pm for $30 additional per week. Your child will receive FREE Breakfast and Snacks, Supplemental lessons & activities, Daily physical activity, and weekly arts & crafts, science, & social emotional learning activities by Licensed teachers and educators. Students must bring laptop/tablets provided by their schools & all other necessary books & materials (classwork, homework, notes, activities and/or assignments), daily and students must pack a lunch each day. 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
Email
example@example.com
Teacher Name
Teacher Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Is it ok to text?
After Care (3pm-5pm) Yes or No *ADDITIONAL $30/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?
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