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Summer Academy: Grades 4-6 Courses

This year, we are thrilled to offer Summer Academy sessions for students entering Grades 4 through 6.  

Register for our Grades 4-6 Courses 

Required

 

Summer Academy 2023 Registration Form: Grades 4-6


 

To help us expedite the registration process, it is important to ensure that only one(1) record for each family exists in our system. If your child or his/her sibling has attended The Quarry Lane School (Summer Academy or Jr.K-12 program), please indicate so in the questions below.

Is this your first time creating an account with Quarry Lane School?required
NOTE: If you have created an account for the student you are registering OR a sibling of the student at any time (previous Quarry Lane School or summer academy enrollment), please select "No". ​
Student's Current Schoolrequired
Has your student enrolled in Quarry Lane School or Quarry Lane Summer Academy in the past?required
Has your student been enrolled in the Quarry Lane Summer Academy previously?​​​required
Are you enrolling another student(sibling) for Summer Academy 2023? ​​required

 

 

Grade Level in 2022-2023 (Current) School Year​​​​​​​​​​​​​required
School Name
Student's Namerequired
First Name
Last Name
Student's Genderrequired
Student's Birthdaterequired
Must contain a date in M/D/YYYY format
Student's Email Address
NOTE: If your student does not have an email address, please do not duplicate the parent's email; leave this field blank instead.​​

 

Parent Namerequired
First Name
Last Name
Parent Email Addressrequired
Phone Number required
Street Addressrequired
Cityrequired
State required
Please use state initials
Zip Coderequired
Relationship to Child required

 

Summer Academy Course Registration

The following Summer Academy classes are offered Monday through Friday. Please refer to the Course Listing page for the designated time for the course selected. Students should be entering the grade levels listed for the 2023-2024 academic year (i.e. a current 4th grade student is a rising 5th grader and is eligible for a 5th grade session.) 

Morning SessionsrequiredSelect a morning session summer course.
Select a morning session summer course.

The following Summer Academy classes are offered Monday through Friday during our afternoon session. Please refer to the course description for the designated time for the course selected.

Note that students should be entering the grade levels listed for the 2023-2024 academic year (i.e. a current 5th grade student is a rising 6th grader and is eligible for a 6th grade course). 

Afternoon Sessions required

 

 

Does your child require special medical attention?​​required
Please explain:
Are you interested in learning more about annual enrollment in Quarry Lane School?required

 

Part 2: 2023 Summer Academy Agreement 

This is a binding contract for The Quarry Lane School. Please read before signing. 

This agreement is made by and between

Parentrequired
First Name
Last Name
(hereinafter “Parent(s)” and The Quarry Lane School, (hereinafter referred to as “School”). 

 

Contract Clause #1required
Contract Clause #2required
Contract Clause #3required
Contract Clause #4required
Contract Clause #5required
Contract Clause #6required
Contract Clause #7required
Contract Clause #8required
Electronic Signature:
Your electronic signature(s) below constitutes an acceptance of The School’s offer of enrollment for the school year as set forth above. 
Accepted by: required
Your name(s) constitutes an acceptance of The School’s Summer Academy Agreement as set forth above.
Date:required
(Must contain a date in M/D/YYYY format)

Payment Information

Emailrequired
Provide an email address for the receipt.
Please select a payment typerequired
Billing Addressrequired
Cardholder Namerequired
Expirationrequired