Sant Bani School · Summer Academic Program

Thank you for your interest in our Summer Academic Program.

This program is open to students entering grades 1-6, with priority given to studetns recommended by their teachers.

Days and Dates: Tuesday & Thursday (July 12-August 4)

Time: 8:45 AM - 12:00 PM

Cost: Each program is $600 per student. Students must attend all four weeks.

Please fill out this form separately for each child you wish to register.

Child Name

*

First Name

Last Name

My child will be entering:

*

Child Birthdate

*

(mm/dd/yyyy)

Please let us know of any food or other allergies your child has:

Parent/Guardian Name

*

First Name

Last Name

Second Parent/Guardian Name

First Name

Last Name

Phone

*

Second Phone

Email

*

Verify Email

*

Second Email

Verify Email

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Address of 2nd P/G (if different)

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Questions or comments?

Registration fee:

*

$