Summer Enrichment Program


If your student is not from our district, or your student is not yet enrolled in the Moorestown Township School District, or you prefer to mail-in your registration and payment- Register Here

 
Summer Enrichment Program Online Form

Moorestown Township Public School District

Summer Enrichment 2017

Registration Form - One Registration Form per Student

Student Information:

Full Name:   Gender:  Male   Female  

Birthday: 

 School Attended:   Grade Completed: 

 

Street:  City:  

State & Zip: 

Parent/Guardian Full Name:  Home #:  

Work #:  Cell #:  E-Mail: 

Emergency Contact/Designated Pick-Up Person: 

Phone #:  Relationship: 

Does your student have any health concerns we should be aware of?  Yes   No

If yes, please specify: 


Session & Course Information: Refer to the Summer Enrichment Brochure for  age restrictions and detailed course descriptions.

Session I- June 26th, 27th, 28th, 29th:

First Choice Course: 

Second Choice Course: 

Session I Before & After Care: 

Session II- July 5th, 6th, 7th: 

First Choice Course: 

Second Choice Course: 

Session II Before & After Care: 

Session III- July 10th, 11th, 12th, 13th:

First Choice Course: 

Second Choice Course: 

Session III Before & After Care: 

Session IV- July 17th, 18th, 19th, 20th:

First Choice Course: 

Second Choice Course: 

Session IV Before & After Care: 

Session V- July 24th, 25th, 26th, 27th:

First Choice Course: 

Second Choice Course: 

Session V Before & After Care: 

* Students staying for Extended Day Camp Care will spend their afternoons engaging in summertime fun! Activities will include: indoor/outdoor games, crafts, free play, etc.
*Students attending the After Camp Care Program should be picked up promptly. Chronic lateness may result in student dismissal without a refund.

* All material fees for specific courses are due the first day of class.

* Please Note: Unless the program is cancelled by the District, there will be no tuition refund issued after June 1, 2017.

I understand I am enrolling my student into MTPS Summer Enrichment. I have read and agree to the rules and regulations within the official Summer Enrichment Brochure.

Parent Signature: 



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