Register Summer Registration Form Parent/Guardian InfoGuardian Name*Email* Phone NumberPlease enter phone number in the format 1234-5678Student InfoStudent Name*Birth Date* Medical Information Add any medical information you may want to share (i.e. allergies, asthma, etc.)Is applicant an active ANS student?*YesNoSelect a course*K3AK3B (Currently Attending K3)K4AK5A1st-2nd A3rd-5th ACodepack: Minecraft Modding, Code Battle, Game Design, Web DevelopmentSAT/ACT MathSociologyPhilosophySport Camp 2017SwimmingGymnasticsBasketballArt Camp - ElementaryArt Camp - SecondaryVolleyballWeeks to attend Week 1: June 12 - June 16 Week 2: June 19 - June 23 Week 3: June 26 - June 30 Week 4: July 3 - July 7 Payment Method (ANS Student)At the Cashier's Office in cash or credit cardCharge to my ANS Billing AccountPayment Method At the Cashier's Office in cash or credit card Data validation* I have verified the weeks that my child will attend Disclaimer: If you choose to pay weekly, but remain for the four weeks, the four week discount does not apply. Cancellation of registration once a payment has been made will result in a $25 cancellation fee. By submitting this form, you agree to these terms.