CiV Summer Scholars
July 13-17, 2026, 9am – 4pm
Name (parent/guardian)
*
First Name
Middle Name
Last Name
Email (parent/guardian)
*
example@example.com
Mobile (parent/guardian)
-
Area Code
Phone Number
Name (scholar)
*
First Name
Middle Name
Last Name
Email (scholar)
*
example@example.com
Mobile (scholar)
-
Area Code
Phone Number
School
Rising 7th Grade
Rising 8th Grade
Rising 9th Grade (Freshman)
Rising 10th Grade (Sophomore)
Rising 11th Grade (Junior)
Rising 12th Grade (Senior)
Rising College Freshman
Birthday
-
Month
-
Day
Year
Date
Drop-Off / Parking
We will drop-off each day
My child is driving and needs a parking space
Other
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please select your sessions and payment options:
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Summer Scholars
9-12th + College Freshman; July 13-17, 2026, 9am – 4pm
$
250.00
Credit Card
Submit
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