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Summer@Rectory Reservation Form

Please fill in the information below to apply to the 2023 Summer@Rectory program.

Summer@Rectory 2023

Required

Student's Namerequired
First Name
Last Name
Date of Birthrequired
Must contain a date in M/D/YYYY format
Gender at Birthrequired
Entering Graderequired
Enrollment TyperequiredInternational Boarding Spaces are FULL (Prices listed are per session.)
International Boarding Spaces are FULL (Prices listed are per session.)
Session requiredCheck all that apply.
Check all that apply.

There is currently a waiting list for Week 2 (July 16-29, 2023).
​​​​​​​Dave Farrell will contact you regarding your reservation.

Morning ProgramsrequiredPlease choose three options. You will be assigned two of your three choices.
Please choose three options. You will be assigned two of your three choices.
Reservation for Additional OptionsrequiredPlease check all that apply. The deposit is required and rolls into the Student Bank Account.
Please check all that apply. The deposit is required and rolls into the Student Bank Account.
Total amount required for enrollment.required
Please add all fees and put the total amount here.
Parent or Guardian Namerequired
First Name
Last Name
Addressrequired
City, State Zip Countryrequired
Phone Numberrequired
Email Addressrequired

Media Release

I grant Rectory School unrestricted permission to use any picture/photograph/video of my child. I am granting exclusively to Rectory School and at no time will my child's picture/photograph/image on video be given to anyone to use for profit.

Restriction of Media Releaserequired