SEAT Bi-Weekly Summer Registration Form-2023

NOTE: Payment For Each Enrichment Program Must Be Made Immediately After Form Is Submitted

. Registration FOR SEAT IS ONLY COMPLETE WHEN THE PAYMENT IS MADE

Summer Starts: 06/12/23 and Summer Ends: 08/04/23

Student Must Be Registered At Least 5-Business Days In Advance Of Student's 1st Day Of Program

BI-WEEKLY SUMMER PAYMENT DISCOUNTED PRICE: $350 PER STUDENT ($175 PER WEEK)

Name Of Student's School:

Select Student's Grade:

Enter Student's Last Name:

Enter Student's First Name:

Enter Student's Date Of Birth:

Siblings Attending Summer Program:

List Any Student Allergies:

Does Student Have Any Special Needs?

If "Yes", List Accommodations That Student Receives In School

Name Of Student's Friend(s) Coming To Program:

Student T-Shirt Size:

Enter Guardian 1's Last Name:

Enter Guardian 1's First Name:

Enter Guardian 1's Email Address:

Enter Guardian 1's Cellphone Number:

Enter Guardian 1's Work Number:

Enter Guardian 2's Last Name:

Enter Guardian 2's First Name:

Enter Guardian 2's Email Address:

Enter Guardian 2's Cellphone Number:

Enter Guardian 2's Work Number:

Select Dismissal Method From SEAT:

List Names & Numbers Of Those Authorized To Pickup The Student:

Acknowledgement 1:

I acknowledge that the Registration Process is only complete once the complete payment (i.e. Non-Refundable One-Time Registration Fee, Non-Refundable One-Time Program Supplies Fee, and Discounted-Biweekly Summer Fee per Student) is made, and that the discounted weeks of the "Discounted-Biweekly Summer Fee" Payment not only apply to one student, but are also non-refundable after two weeks prior to the week that the student will be attending because it is securing a space for a program that has very limited capacity.

Acknowledgement 2:

I acknowledge that participants of the SEAT Summer Program must be picked up by an Authorized Adult by No Later Than 3pm and that failure to do so results in a late fee (after 5 minutes); access to the program site building ends at that time.

Acknowledgement 3:

I acknowledge that Enrichment Masters is not a childcare provider and as such does not provide, store, or administer medications for any participant of the SEAT Summer Program

Acknowledgement 4:

I acknowledge that Enrichment Masters does not provide snacks or lunches for participants of the SEAT Summer Program and any food or beverages consumed by participants are provided by (whether purchased or prepared) the participant's guardian

Acknowledgement 5:

I acknowledge that participants of the SEAT Summer Program will travel (e.g. by bus) off-campus to other locations (e.g. field trips, park visits) as a regular component of the program and as such, a completed and signed permission slip is a requirement of attending the SEAT Summer Program

Acknowledgement 6:

I acknowledge that Enrichment Masters does not provide medical staff/aides (e.g. nurses, mental health specialists) for student participants. As such, any participants of the SEAT Summer Program who require such accommodations are encouraged to be registered into a program that is equipped with the necessary support that enables the participant to have a successful and enjoyable experience

Electronic Signature:

By checking this box, I acknowledge that I have read the terms listed above as well as the EM Terms of Agreement and agree to adhere to the Enrichment Masters SEAT Summer Program Parental Terms Of Agreement (see link below)

Parental Terms Of Agreement