SUMMER PROGRAM APPLICATION ONLY *

First Name

Last Name

Will your child be attending Hudson Hills in the Fall?

Yes

No

Please check off which weeks your child will be attending.

WEEK 1 - 6/24 - 6/28

WEEK 2 - 7/1 - 7/3

WEEK 3 - 7/8-7/12

WEEK 4 - 7/15 - 7/19

WEEK 5 - 7/22- 7/26

WEEK 6 - 7/29 - 8/2 -CLOSED

WEEK 7 - 8/5 - 8/9 - CLOSED

WEEK 1 6/24-6/28

ANIMAL WEEK

5 FULL

5 HALF

4 FULL

4 HALF

WEEK 2 7/1-7/3

LIBERTY WEEK

3 FULL

3 HALF

WEEK 3 7/8 - 7/ 12

NATURE WEEK

5 FULL

5 HALF

4 FULL

4 HALF

WEEK 4 7/15 - 7/19

STORYBOOK WEEK

5 FULL

5 HALF

4 FULL

4 HALF

WEEK 5 7/22- 7/26

FUN IN THE SUN

5 FULL

5 HALF

4 FULL

4 HALF

WEEK 6 7/29- 8/2 CLOSED

LITTLE CHEFS WEEK

WEEK 7 8/5-8/9 CLOSED

AROUND THE WORLD

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Cell Phone

(###)

###

####

We certify that no information concerning this applicant has been withheld or misrepresented.*

First Name

Last Name

At Hudson Hills , we frequently take photographs of our children. Some of these photos will be used in promotional pamphlets , internal school newsletters , newspaper advertisement , annual reports , on the school website , and for the annual school yearbook among other places . On rare occasion , we will invite print local newspapers to Hudson Hills to cover events. If you agree to provide permission for your child's name and image to appear in the media or in any school publication , check here:

YES

NO