Register For Summer Academies – Gifted Resource Council

Choose Programs and Sessions

Tell Us About Your Child

Child's Name

Child's Age

Birth Date

Sex

Completing Grade

Has your child attended in the past?

Parent 1 Info

Name

Address

City

State

Zip

Home Phone

Work Phone

Cell Phone

Employer and Occupation

Parent 2 Info

Name

Parent 2 has same address

Address

City

State

Zip

Home Phone

Work Phone

Cell Phone

Employer and Occupation

IF PARENT CANNOT BE REACHED, CALL:

Name

Relationship

Phone

Other Info:

Allergies

Other problems of which we should be aware?

Physician

Physician Phone

School and District

School Phone

How did you hear about GRC’s Summer Academies?

Do You Require Extended Daycare?

Mornings ($90/session)

Afternoons ($120/session)

Extra Information

Yes, I’d like to help a scholarship student attend a Gifted Resource Council Summer Academy

Amount

Summary

Pay Deposits Only

Pay Full Amount

Please select a Summer Academy Session above.

By clicking the button below you agree to allow Gifted Resource Council to charge your indicated credit or debit card a one-time amount and apply for the selected Summer Academy Sessions.

I understand that for my child’s application to be complete, the following must be submitted to the GRC office:

1.) Recent standardized test scores or a report card for Kindergarten and 1st Grade.

2.) Teacher Evaluation Form (https://www.giftedresourcecouncil.org/wp-content/uploads/2019/01/S19-evaluation-1.pdf) completed by child’s teacher.

I agree to all the terms of the GRC Online Payment and Online Donation Policy

Fill out the entire form