SAINT PASCHAL BAYLON SCHOOL 2026 SUMMER SCHOOL PROGRAM

SAINT PASCHAL BAYLON SCHOOL 2026 SUMMER SCHOOL PROGRAM

Registration & Medical Release
Our summer school program provides strong academics in a more relaxed, short-term environment led by experienced SPBS teachers. Students maintain and enhance academic momentum while gaining the confidence and skills that support long-term success. We welcome students from Catholic, public, private or home-school programs.

PROGRAM DATES:
Monday, June 22, 2026 - Friday, July 10, 2026
(NO SCHOOL - Friday, July 3, 2026)

PLEASE SUBMIT ONE FORM PER STUDENT.
Upon submission of this form, you will have the opportunity to complete and submit an additional form for a subsequent student.
Student's Full Name

First NameLast Name
Student's Age
Student's Date of Birth

MonthDayYear
Date
Student's Current School
Grade in September, 2026
Mother's Full Name

First NameLast Name
Mother's Email Address
example@example.com
Mother's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Father's Full Name

First NameLast Name
Father's Email Address
example@example.com
Father's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Insurance Provider
Group/Member #
Does the participant have any allergies or medical conditions? Please specify.
SESSION 1 - 8:30am - 10:00am

Optional - you may choose one or both summer sessions for your student.
I would like to enroll my student in the following session:
SESSION 2 - 10:00am - 11:30am

Optional - you may choose one or both summer sessions for your student.
I would like to enroll my student in the following session:
Anything else you'd like us to know about your student?
PARENT AGREEMENT

I understand that the summer session registration fee is nonrefundable; that St. Paschal Baylon School reserves the right to cancel classes for which there is insufficient enrollment; and that the school cannot refund tuition if the application is withdrawn after June 5, 2026. If a class is cancelled, the tuition will be refunded. I have discussed this program with my child and approve of his/her participation. I understand this program cannot accommodate students with discipline problems. Should a problem arise, the student/parent will discuss the matter with the Summer School administrator and abide by decisions made by the school. If the problem persists, the student may be dismissed from the class with no refund of the course fees. Rules and regulations in the SPBS Parent/Student Handbook are in effect during Summer School, with the exception of the uniform regulations, and are enforced by the Summer School administrator and/or SPBS administration. Your signature indicates your compliance with our Handbook.
All students must be picked up within 10 minutes of the end of their class(es). Students are enrolled and attend SPBS Summer School at the discretion of the SPBS administration.
Signature
MEDICAL AGREEMENT

I hereby request that my son or daughter attend the St. Paschal Baylon School Summer School Program during June/July 2026. I do not hold anyone connected with the SPBS Summer School program or SPBS responsible if any misfortune should occur. I understand and support the fact that my son or daughter must comply with the directions given by the school during the Summer School program. I agree to instruct my child to cooperate and conform to directions and instructions of the supervisory personnel in charge of the program. I hereby give the school personnel permission to use their judgment in obtaining medical service for my child, and I give permission to the physician selected by the school personnel to render medical treatment deemed necessary and appropriate by the physician. I agree to relieve the school and other adults from any liability in connection with this request.

I understand that my insurance benefits, which are in effect, may have limited application.
Signature
Terms: Enrollment is on a first-come, first-served basis (class sizes are limited). Students must meet age requirements. Classes may be cancelled for insufficient enrollment (refunds would be issued in this case ONLY).
Payment Options:
HOW PAYMENT WORKS

Submit Your Deposit

A $100 deposit per course is required to hold your child’s space. Enrollment is first-come, first-served and classes are limited.

Lock in Your Tuition Rate

Submit your $100 deposit by May 8, 2026 to secure Early Bird pricing:

• $250 (1 course)

• $450 (2 courses, same child)

Deposits received on or after May 9, 2026 will receive Regular Tuition pricing:

• $275 (1 course)

• $500 (2 courses, same child)

Pay Remaining Balance

The remaining balance must be paid in full by June 22, 2026.

*Families may also choose to pay in full at the time of registration.

SELECT PAYMENT TYPE BELOW:
Cash or check can be brought or mailed to the school office at:

Saint Paschal Baylon School
154 E. Janss Road
Thousand Oaks, California 91360
I'd like to pay by:
If selecting the FACTS “Bill Me” option (school families only), please indicate the amount you would like charged for this student to your account.
The deposit is $100 per student, per course. If you prefer to pay in full, the Early Bird pricing is $250 for one course per student or $450 for the same child enrolled in two courses. Tuition increases after May 8, 2026. Please complete this section for ONE student ONLY. After submitting this form, you will have the opportunity to complete a separate registration form for another child and include that child’s payment on that form.
Should be Empty:

SAINT PASCHAL BAYLON SCHOOL 2026 SUMMER SCHOOL PROGRAM

SESSION 1 - 8:30am - 10:00am

SESSION 2 - 10:00am - 11:30am

Payment Options: