Summer Enrichment 2026
Please fill out all required fields to register your child for the program.
Parent/Guardian 1 - Full Name
*
First Name
Last Name
Parent/Guardian 1 - Email
*
example@example.com
Parent/Guardian 1 - Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 2 - Full Name
First Name
Last Name
Parent/Guardian 2 - Email
example@example.com
Parent/Guardian 2 - Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Child's Name
*
Child's Date of Birth (YYYY/MM/DD)
*
 -
Month
 -
Day
Year
Date
Current Grade/Form (2025-2026)
*
Subject Areas
*
Reading Readiness
Language Development
English
Math
Study Skills
Critical Thinking
Other
No. of Desired Weekly Sessions
*
2 sessions weekly (Mondays & Wednesdays)
2 sessions weekly (Tuesdays & Thursdays)
3 sessions weekly
4 sessions weekly
5 sessions weekly
Time Slot - 1st Choice
*
1:00 - 2:00 pm
2:00 - 3:00 pm
3:30 - 4:30 pm
4:30 - 5:30 pm
Time Slot - 2nd Choice
*
1:00 - 2:00 pm
2:00 - 3:00 pm
3:30 - 4:30 pm
4:30 - 5:30 pm
Consultation Requested (New Students Only)
*
Yes
No
Please tell us about your child.
Register
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