School Dayz Academy 2026-2027

SCHOOL DAYZ ACADEMY 2026-2027

100-Hour Youth Leadership & Enrichment Academy
Participant #1 Information

First NameLast Name
Camper #2 Information

First NameLast Name
Phone (Camper)
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Race/Ethnicity
Middle or High School

Other
Age of Child #1
My child has the following allergies

Other
What is your child allergic to and what is the medical response if exposed?
Age of Child #2
My Child has the following allergies

Other
What is your child allergic to and what is the medical response if exposed
Parent Information

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you able to drop teen off at the Academy by 4pm each session?
We have very limited transportation at the end of each session. We have the capacity to transport 12 teens. Are you able to pick your teen up from the program on Mondays?
How did you learn about the program?

Other
Please describe Other(school, church, civic group)
Number of people living in the household
Household Income Limits are based on family size. Please check the range of your income
One Parent Orientation Meeting will be held on Saturday, September 19, it will be an Ice Cream Social. Location: 645 Hawthorne Avenue (Divas Who Win) Bring teen and a friend. Parent Session is mandatory for enrollment. Will you attend with your teen?
My child would benefit from tutoring:
Mentorship Program will be hosted October 5-April 30 2027. Mentee will meet with team & leaders bi monthly, the 1st & 3rd Monday, 4:00pm -7:30pm and selected Saturday excursions throughout the school year. Is there any specific challenge or opportunity you’d like our team to focus on during this time?
Please describe
My child will eat Dinner at Divas biweekly weekly
My child will only attend monthly Saturday Sessions
Emergency Contact Information

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Academy Schedule Dates:

Monday, October 5

Monday, October 19

Monday, November 2

Monday, November 16

Monday, December 7

We’ll break for the holidays and resume on the first Monday in January and continue on the same first and third Monday schedule:

Monday, January 4

Monday, January 18

Monday, February 1

Monday, February 15

Monday, March 1

Monday, March 15

Monday, April 5

Monday, April 19
OPEN HOUSE & Registration will be held Saturday, September 19, (12pm -2pm) and it is a mandatory session. I understand in order to activate my teens enrollment, we must be in attendance. Please sign
By signing below, I agree to supporting my child in attendance, participation and opportunity to grow their leadership skills
There is a NO CELL PHONE policy during the Academy. Parents will receive phone contact info for all Academy leaders and our headquarters. No exceptions can be made to this policy. Please sign if you agree.
We uphold a strict no bullying or discrimination based on gender, gender identity, race, ethnicity, socioeconomic class. Sign if you agree to reinforce this ideology at home.
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SCHOOL DAYZ ACADEMY 2026-2027