NASHUA CATHOLIC
    REGIONAL JUNIOR HIGH SCHOOL

          6 BARTLETT AVENUE  NASHUA, NEW HAMPSHIRE  03064      (603)882-7011   Fax (603)594-8955

SUMMER ENRICHMENT COURSE REGISTRATION FORM

Your child MUST be pre-registered for all courses!  We “sold out” last year with waiting lists, so please register early! We have a maximum capacity of 25 students per course.  Once we are at capacity for a course, we will start a waiting list.  A $50*** non-refundable deposit per course is required upon registration and the balance due one week prior to the start of the course.  Please mail this form (may be copied) with your check to NC, ATTENTION:  Deb Matson.  We will advise everyone on the wait list as to the status of the program.  More information will be sent to you in the upcoming weeks.   

PLEASE FILL OUT THIS FORM COMPLETELY

Please PRINT legibly

CHILD’S FULL NAME: ______________________________________________________________

GRADE IN 2008-2009:   _________              PRIOR SCHOOL:_______________________________

 PARENT(S) FULL NAME(S):_________________________________________________________

 PARENT(S) ADDRESS:                                                         ___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

 PARENT(S) PHONE:______________________ CELL PHONE: ___________________________

EMERGENCY CONTACT (Name/Phone) : _____________________________________________

 PARENT EMAIL***:_______________________________________________________________

*** NOTE:  Your registration receipt, health form, lunch menu, program schedule and specifics will all be sent via email! 

COURSE(S) SELECTIONS/DATES:   (Check all that apply and enclose deposit.)

STUDY SKILLS                                                        ____ August  4 - 8   (8:30-11:30am)   

($95**   Includes a snack)                                            ____ August 11-15  (1pm-4pm)

                                                                                    ____ August 18- 22 (8:30-11:30am)

JUNIOR HIGH SUCCESS                                       ____ August 4- 8      (1pm – 4pm)

($95**   Includes a snack)                                            ____ August 11-15   (8:30am-11:30am)

                                                                                    ____ August 18-22   (1pm – 4pm)

** Students who register for BOTH Study Skills AND Junior High Success during the

same scheduled week may join us for lunch (provided, or bring your own) and activity time in between course sessions.** 

Copyright © 2004 Nashua Catholic Regional Junior High School