Summer Program Registration

1
Student Name* This field is required.
First Name
Last Name
2
Grade range of child* This field is required.
Grade 4
Grades 5-8
Grades 9-12
3
Email* This field is required.
example@example.com
4
Which program are you interested in registering for?* This field is required.
Literacy (fiction and non-fiction) 5-8
Accelerated (AP test prep) 9-12
Social Emotional Group Sessions
5
My Products* This field is required.
prevnext( X )
My Bag
0
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Literacy (Fiction and Non-fiction) 5-8
$300.00+Edit
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Accelerated (AP Test Prep) 9-12
$300.00+Edit
Back
Social/Emotional Group Sessions
$300.00+Edit
Back
Enter Coupon
Total cost $0.00
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