3 in 1 Application

Parent or Guardian’s Name

Your Email

 Reading Only 3 in 1 Program

Students Name

Age

Grade in School

Address

Zip

Phone

Any Additional Comments

Please bring cash or a check to the office to finish registration. The students registration will not be complete until payment has been received.

To guarantee your child’s place, a $50.00 registration fee is required.  This is NOT REFUNDABLE.  The total costs of the Summer Academic Programs are $675.00 each. Arrangements can be made for a payment schedule.  Class size is limited, so to insure your child’s place, please fill out this form and return with your registration ASAP.  Deadline is May 15th. 

(Download) 6 Week Summer Program Flier

CCS

SUMMER SCHOOL PROGRAMS     

 

_____  READING ONLY

_____  3 IN 1 PROGRAM

 

Student’s Name__________________________ 

Age_____     Grade in School_____________

Address _________________________________

Zip ________________  Phone__________________

 

Parent or Guardian’s Name

__________________________________________

Parent or Guardian’s Signature________________________________

 

Amount Enclosed_________________________     Check#____________  Date______________

 

            To guarantee your child’s place, a $50.00 registration fee is required.  This is NOT REFUNDABLE.  The total costs of the Summer Academic Programs are $675.00 each. Arrangements can be made for a payment schedule.  Class size is limited, so to insure your child’s place, please fill out this form and return with your registration ASAP.  Deadline is May 15th. 

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2416 Dean Avenue
Bakersfield, California 93312
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Phone: (661) 589-4703
Fax: (661) 588-5944

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2416 Dean Avenue. Bakersfield, California 93312 :::: Phone: (661) 589-4703 :::: Fax: (661) 588-5944 :::: Email Us :::: Click Here for Map of Location