Sign Up Form Summer Camps

Summer Camp Student Sign Up Form

* Indicates required field

Student Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Student's Current Grade (if summer grade student will enter in Fall) *

Parent/Guardian Name *

First

Last

Relationship *

Parent/Guardian Phone Number *

Time of Day (choose all that you are interested in or apply) *

Half Day Morning 8:00 a.m. - 12:00 p.m. Half Day Afternoon 12:00 p.m. - 4:00 p.m. Full Day 8:00 a.m. - 4:00 p.m. (only available for Readiness Camps for Grades 3-8) Achieve Typing! Only 8:00 a.m.-10:00 a.m. Achieve Typing! Only 10:00 a.m.-12:00 p.m. Achieve Typing! Only 12:00 p.m.-2:00 p.m. Achieve Typing! Only 2:00 p.m.-4:00 p.m.

Please add additional Information Here if necessary. *

By typing my name below, I acknowledge that I am beginning the sign up process for services at Achieve. I agree to be contacted by Achieve to continue the registration process before sessions begin. *