Register Summer Registration Form Parent/Guardian InfoGuardian Name*Email* Phone Number*Please 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*Summer BridgeArtNumber FunLectura y Escritura CreativaGoogle CS - First & RoboticsGymnasticsJiu-Jitsu BrasileñoBasketballPENew SAT/ACT Math PreparationSociologíaFilosofíaReading Intervention Program | Ready, Set... Read!Select a grade levelEntering K3 (Preparatory course)K3 (Currently enrolled)K4 (Currently enrolled)Kindergarten (Currently enrolled)1st Grade (Currently enrolled)2nd Grade (Currently enrolled)3rd Grade (Currently enrolled)4th Grade (Currently enrolled)5th Grade (Currently enrolled)6th Grade (Currently enrolled)7th Grade (Currently enrolled)Weeks to attend Week 1: June 10 - June 14 Week 2: June 17 - June 21 Week 3: June 24 - June 28 Week 4: July 01 - July 05 Weeks to attend Week 1: June 10 - June 14 Week 2: June 17 - June 21 Week 3: June 24 - June 28 Weeks to attend Full Course 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.