EmailMe Form - Arete Summer Academy Student Application

Child's Name

First Middle Last

Child's Nickname

Child's Gender

Male

Female

Child's Date of Birth

MM / DD / YYYY

Child's grade

Any of your child's Medical Conditions or allergies to be aware of:

Mother's Name

First Middle Last

Father's Name

First Middle Last

Mother's Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Father's Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Mother's Email

Father's Email

Mother's Cell Phone

### - ### - ####

Father's Cell Phone

### - ### - ####

Home Phone (if applicable)

### - ### - ####

Name of Child's School

Is there anything about your child that you would like us to be aware of?

How did you hear about Arete?

Word of mouth (friend, family)

Sunday Mass announcement

Flyer

What do you want your child to get out of Arete?