2020 Jubilee School ONLINE Summer Program Application

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Date of Birth *

Grade as of September 2020 *

Please list any siblings that will also attend the summer program. *

Parent / Guardian Name *

Parent / Guardian Email *

Parent / Guardian Phone # *

Parent / Guardian Name

Parent / Guardian Email

Parent / Guardian Phone #

Please choose which session(s) you'd like to sign up for: *

GROUP 1 (Pre-K to K)

GROUP 2 (1st - 2nd)

GROUP 3 (3rd - 5th)

GROUP 4 (6th - 12th)

How did you hear about us? *

By signing below I confirm that the above information is correct to the best of my knowledge. *