St. Thomas Aquinas Summer School Enrollment Form

Child's First Name*:
Child's Last Name*:
Child's Date of Birth*:
Grade level attended in 2007-8*:
School attended 2007-8*:
Parent/Guardian First Name*:
Parent/Guardian Last Name*:
Address*:
City*:
State*:	DC AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zipcode*:
Email Address:
Primary Phone Number (xxx-xxx-xxxx)*:
Secondary Phone Number (xxx-xxx-xxxx):
Please mark appropriate session:
Math - $350.00
Language Arts- $350.00
Math and Language Arts - $550.00
Payment information will be provided once the form is submitted below.