Student’s Name: ______________________________________________________

 Phone Number: _______________________E-mail: _________________________

 Parent/Guardian’s Name: _______________________________________________

 Phone Number: _______________________E-mail: __________________________

   
CHECK APPROPRIATE LEVEL AND WEEK(S) INTERESTED IN ATTENDING

SUMMER PROGRAM:

 
Lower School ___

Tuition:  $350 per week or $700 for 2 week program

                         June 30 ___

                        July 7    ___

 

  Middle School ___                                                    Upper School ___

Tuition:  $350 per week or $2100                            Tuition:  $390 per week or $2340

                For 6 week program                                                 for 6 week program         

                         July 07 ___                                                                 July 07 ___

                        July 14 ___                                                                 July 14 ___

                        July 21 ___                                                                 July 21 ___

                        July 28 ___                                                                 July 28 ___

                        Aug 04 ___                                                                 Aug 04 ___

                        Aug 11 ___                                                                 Aug 11 ___

 
PAYMENT SCHEDULE:

·         10% by June 1, 2007

·         Payment in full before the first class of the Summer Intensive

 
QUESTIONS?

·         Please call Valerie Szeto at 203-856-7953 or email vcszeto@optonline.net