Summer Registration

Please review our Summer Program Policies before registering. Registration for our Summer Programs is now closed, unless you were on a waitlist and have been offered an open spot by NEMPAC Staff. 

 

Student First Name
Student Last Name
Program
Additional Program
Additional Program
Parent / Guardian First Name
Parent / Guardian Last Name
Address
City
State
Zip Code
Email
Phone Number
Emergency Contact
Emergency Number
Student Age
School Name (if applicable)
Discount or Promotion
Do you require Early Drop-Off at 8:30 a.m?
Do you require Late Pick-up at 5:00 p.m.?
Release
Signed Date
?
dd/mm/yyyy
How did you hear about our Summer Programs?
Payment: Payment is Accepted via Direct Checking Payment, Credit Cards through Paypal, or Checks mailed to NEMPAC. You will receive an e-invoice with your total due and instructions to pay! Thank you!