Academy4Enrichment Summer Camps

Academy 4 Enrichment - Summer Camps

Student Information

First Name:

Last Name:

Grade:

(from Sept)

School:

Parent Information

First Name:

Last Name:

Phone:

Alternate Phone:

Email:

Address:

City:

State:

Zip Code:

Daily Camp Schedule

Drop off Time	Morning Session	Lunch Break	Afternoon Session	Activity	Pickup
8:30 AM - 9:00 AM	9:00 - 12:00 PM	12:00 - 1:00 PM	1:00 - 4:00 PM	4:00 - 5:00 PM	5:00 - 5:30 PM

Choose Courses ** (Please select the location to see the list of courses available for each week.)

Week	Location	Course	Price
Week 1 (6/10 to 6/14)
Week 2 (6/17 to 6/21)
Week 3 (6/24 to 6/28)
Week 4 (7/1 to 7/5)
Week 5 (7/8 to 7/12)
Week 6 (7/15 to 7/19)
Week 7 (7/22 to 7/26)
Week 8 (7/29 to 8/2)
Week 9 (8/5 to 8/9)
Total:

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