2022 St. John's Preschool Summer Program Registration Form

Child's First Name (include preferred name): *

Child's Last Name: *

Child's Date of Birth: *

Date

Parent/Guardian 1 Name: *

Parent/Guardian 1 Phone: *

Parent/Guardian 1 Email: *

Parent/Guardian 2 Name:

Parent/Guardian 2 Phone:

Parent/Guardian 2 Email:

Address 1*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Address 2 (if applicable) :

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please tell us about your child's previous school/camp experiences: *

Please describe any special needs the staff should be aware of to support your child: *

How did you learn of St. John's Summer Program*

Current St. John's Preschool FamilyPast St. John's Preschool FamilyCurrent St. John's Summer Program FamilyOther

Sessions Available:

Links Session 1 - June 16- June 27

Links- Session 1 - Full Price $740

$740.00

Links Session 2 - June 30- July 11

Links- Session 2- Full Price $740

$740.00

Links Session 3 - July 14 - July 25

Links- Session 3 - Full Price $740

$740.00

Connections Session 1- June 16- June 27

Connections Session 1- Full Price $1,150.00

$1,150.00 Quantity

Connections Session 2- June 30- July 11

Connections- Session 2- Full Price $1,150

$1,150.00

Connections Session 3- July 14 - July 25

Connections- Session 3 - Full Price $1,150

$1,150.00

Explorers Session 1- June 16 - June 27

Explorers- Session 1- Full Price $1150

$1,150.00

Explorers Session 2 - June 30- July 11

Explorers- Session 2- Full Price $1150

$1,150.00

Explorers Session 3- July 14 - July 25

Explorers- Session 3- Full Price $1150

$1,150.00

Enter coupon

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Calculation

Signature

2025 Summer Program

Instructions:

Payment Methods