Clone of P.A.P.E. Academy Application Form

P.A.P.E. Academy Application Form

Complete your details, select your program, review agreements, and submit payment if required.
Welcome to P.A.P.E. Academy! Please complete the application form to enroll in your selected program.
Select Program
Student Full Name

First NameLast Name
Student Date of Birth

MonthDayYear
Date
Student Email Address
example@example.com
Student Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Student Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Relationship to Student
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Full Name

First NameLast Name
Emergency Contact Relationship
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical Information (Allergies, Conditions, Medications)
Does the student have any special needs or require accommodations?
If yes, please describe the accommodations required.
Summer Experience & Exposure: What are your goals for this summer program?
Beyond the Bell: After School – Which days will the student attend?
MTN: Select your training option
The Blueprint 16+: Please describe your experience or interest in this program.
A New Path: Community Service – Why are you interested in this program?
Parent/Guardian Agreements: Please read and acknowledge the following.
Media Release: I grant permission for photographs or videos of my child to be used for promotional purposes.
Parent/Guardian Digital Signature

Program Payment

Should be Empty:

P.A.P.E. Academy Application Form

Program Payment

Payment Methods