DPS Academic Summer School Program

Parent Name(Required)

First Last

Phone(Required)

Email(Required)

Student Name(Required)

First Last

Student School Email(Required)

Student 2024/2025 Grade(Required)

Program Choice (Grades 1 – 8)(Required)

Program Choice (Grade 9 – Non-Credit Courses)(Required)

If you have received a letter from the school, please select the course as recommended in the letter.

Program Choice (Grade 10 – Credit Courses)(Required)

If you have received a letter from the school, please select the course as recommended in the letter.

Program Choice (Grade 11 – Credit Courses)(Required)

If you have received a letter from the school, please select the course as recommended in the letter.

Total

Billing Address(Required)

Street Address City Province Postal Code

Credit Card(Required)

Cardholder Name

Card Details