Click here to return to Messiah College's homepage
Summer Academy

Registration Form

 

All applicants must supply:

  • Completed Teacher Recommendation Form (give to a school teacher or counselor and ask them to complete and mail or email to the address specified on the form by the July 30 deadline)
  • Release Form (complete and turn in on the first day)
  • Registration (fill out the form below)

 

Personal Information

First Name:  MI:
Last Name:  
Address:  
City:
State:
Zip Code:
Phone Number:
Email Address :  
Parent or Guardian:
(please provide a full name)
Work Phone:
Grade in School:
(for 2008-09)
Gender: Male Female
Age:
Date of Birth:
Nickname:
T-Shirt Size
How did you hear about us?
If "other," please list:

 

Fees

Registration Fee $30  
Early Service (Supervised informal activities from 8:00-9:00 a.m.) $20/week
Late Service (Supervised informal activities from 1:00-2:00 p.m.) $20/week
Early/Late Service (Supervised informal activities from 8:00-9:00 a.m. and 1:00-2:00 p.m.) $40/week
Box Lunch (5 days) $37.50/week
Parking Permit $5/week

 

Session

(please check all that apply)

 

June 23-27, 2008
 $150
  (If you are registering for Making Movies, please make sure to select this for both Session I and Session II)
  First Choice: Course Selection I, 9:00-10:30 a.m.
  Second Choice: Course Selection I, 9:00-10:30 a.m.
  First Choice: Course Selection II, 10:45 a.m.-12:15 p.m.
  Second Choice: Course Selection II, 10:45 a.m.-12:15 p.m.
 

 

August 4-8, 2008
 $150
  First Choice: Course Selection I, 9:00-10:30 a.m.
  Second Choice: Course Selection I, 9:00-10:30 a.m.
  First Choice: Course Selection II, 10:45 a.m.-12:15 p.m.
  Second Choice: Course Selection II, 10:45 a.m.-12:15 p.m.