Parent name

Parent email

Parent phone

Weeks for which you are requesting support:

Week 1. Chocolate Cities > Mon June 22 – Fri Jun 26
Week 2. Fables and Legends > Mon June 29 – Fri July 3
Week 3. Africa Week > Mon July 6 – Fri July 10
Week 4. Rhythm & Resistance > Mon July 13 – Fri July 17

Name and grade (Fall 2026) of each child

How much can you afford to pay per week per child?

Address including Zip Code