Choose the Campus Location St. Mary's Day School
St. Patrick's Evening School
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Student Last Name:* Student First Name:*

 

 
Street Address:*  
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Home Phone Number:* Work Phone Number:*
Parent Cell Phone:* Emergency Contact (Parent)*
Emergency Contact Phone Number (Parent)*  
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  Student E-Mail Address:
 
Additional Student Information  
I have attended Summer Evening Academy in the past.  
I will be returning to Garden State Summer Academy for another summer session.
Other (Enter Entire School Name) Address: (Only for Other)
 
Grade You Attended in 2008-2009  
Grade 9 Grade 11
Grade 10 Grade 12
   
Name of School Guidance Counselor*  
 
Please Register Me for the Following:
Writing     NEW Science Labs Available Driver's Education NEW
English 1 NEW Physical Science NEW French NEW
English 2 NEW Chemistry NEW Sociology NEW
English 3 NEW Biology NEW Psychology NEW
English 4 NEW Physics NEW Weight Training NEW
Business Math NEW General Science NEW Basketball NEW
Physical Education NEW Earth Science NEW    
Health NEW Spanish 1 NEW Computers NEW
Algebra 1 NEW Spanish 2 NEW Computers Applications NEW
Algebra 2 NEW Spanish 3 NEW    
Geometry NEW French 1, 2, 3 NEW Write Courses not Listed:  
World History NEW Religion 1 NEW  
U.S. History 1 NEW Religion 2 NEW
U.S. History 2 NEW Religion 3 NEW
    General Math NEW
    Science with Labs Available NEW
           
 
 Payment Information
     
New Course $625.00 each: X
courses: $
Review Course $235.00 each: X
courses: $
   
One-Time Registration Fee  
$55.00
Payment Plan $30.00
(Mandatory Charge if Payment is made in 4 equal payments)
 
   
Total: $

Payment Options

(Before July 9) Check, Money Order, or Check for Full Amount

(After July 9) Cash Only for Full Amount

(Optional Tuition Plan)—4 Equal Payments Including a $30.00 Handling Fee

Make Checks Payable to: Chris Chavannes

Mail to: Garden State Summer Academy
      221 Court Street
       Elizabeth, NJ 07206

Disclaimers:

 Any and all balances are subject to late fees. Late fee policy $15.00 late fee applies to any and all weekly and/or payment fee schedule if full balances are not received on or before agree upon due date.

Any and all balances carried forth after the close of the summer school session are subject to a $50.00 accounting fee. Transcripts and credits will not be released to the home school if any balances remain after August 5th.

Payment plan Late fee policy $15.00 late fee applies if weekly payments are not received on or before agree upon due date.

Excused and Unexcused Absentee Fee $30 fee per day. Course hours must also be made up if an absence occurs for any/all reasons. Transcripts and Credits will not be released if the course hours are not completed upon return to school and/or before the close of the summer school session.

Dress code violation policy $5.00 for first occurrence. Violation fees will increase for subsequent and repeated offenses of the same violation. Violation penalty is subject to change upon discretion of summer school director. Dress code violations are also subject to late fees of $15.00 if not paid in accordance with fee schedule.

Students will be assessed fees for the following school violations that will be set upon discretion of the Director.
Violation of school Rules. Violation of Federal or State Laws. Persistent Violations, etc.

Violation fee Schedule (subject to change upon discretion of the Director)

Lateness/tardiness $5.00

Persistent Repeated Tardiness and Absences $30. Late fees will increase upon subsequent and repeated offenses upon discretion of the Director.
Scholastic Dishonesty ( cause for dismissal or withholding of transcript/credits)
Disruptive Classroom Conduct (fees are subject upon discretion of the Director)
Refusal to Identify and Comply(fees are subject upon discretion of Director)
Disorderly Conduct (fees are subject upon discretion of the Director)
Illegal or Unauthorized Possession or Use of Weapons (cause for dismissal or withholding of transcript/credits)
Illegal or Unauthorized Possession or Use of Drugs or Alcohol (cause for dismissal or withholding of transcript/credits)
Theft, Property Damage, and Vandalism (cause for dismissal or withholding of transcript/credits)
Disruptive Behavior (cause for dismissal or withholding of transcript/credits)

Leaving School Grounds (Mandatory $30 fee subject to change upon discretion of the Director.)

The above violations carry penalty fees that are subject to change upon discretion of the director)

 

I Agree to Comply with the Above Disclaimers

Full Name:
Date:

Behavior Disclaimers:
I agree to the Behavior Disclaimer

Full Name Date Students must maintain proper discipline and decorum. Any student failing to comply with St. Patrick Summer Evening Academy's course requirements regarding dress code, classroom conduct or standards of behavior will be in jeopardy of losing their credit and may be asked to leave. There are no refunds. It is the discretion of the Director of Garden State Summer Academy as to what behaviors and standards are considered unruly or unacceptable. Therefore in an effort to maintain standards regarding behavior and conduct, Fines and fees will apply if the standards are not meet in accordance with St. Patrick summer Evening Academy code of conduct.

Students will be assessed fees for the following school violations
Violation of school Rules.

Violation of rules means engaging in conduct that violates school or departmental regulations that have been posted, publicized, or verbally instructed including provisions contained in contracts with students

Violation of Federal or State Laws.
Violation of federal or state laws means engaging in conduct that violates a federal or state law, including, but not limited to, laws governing alcoholic beverages, drugs, gambling, sex offenses, indecent conduct, or arson.

Persistent Violations.
A persistent violation means engaging in repeated conduct or action in violation of this Code.

Lateness/tardiness
Scholastic Dishonesty
Disruptive Classroom Conduct
Refusal to Identify and Comply
Disorderly Conduct
Illegal or Unauthorized Possession or Use of Weapons
Illegal or Unauthorized Possession or Use of Drugs or Alcohol
Theft, Property Damage, and Vandalism
Disruptive Behavior

The following sanctions may be imposed upon students or student organizations found to have violated the Code of Conduct of Garden State Summer Evening Academy:
Verbal Warning/Unlimited Fines-Imposed per the discretion of the Director.
Probation
.
Probation means special status with conditions imposed for a defined period of time and includes the probability of more severe disciplinary actions.

Confiscation
Confiscation means confiscation of goods used or possessed in violation of St. Patrick Summer Evening academy regulations or confiscation of falsified identification or identification wrongly used.

Restitution
Restitution means making compensation for loss, injury, or damage.

Suspension

Expulsion
Expulsion means the permanent separation of the student from St. Patrick Summer Evening Academy. Withholding of Transcripts or Report Card without refund.

 
Garden State Summer Academy Tuition
Subjects: $ 235 each
Registration: $ 55.00
New Course: $ 625 each
Payment Options: Money Order, Cash or Check (before July 9th ONLY)
Payment not received by August 1, 2009 will be subject to a $ 50 accountant fee.

Checks Accepted for this payment only
Optional Tuition Payment Plan
Tuition Payment Plan - 4 Equal Payments
Include a $ 30 Handling Fee

Payable to: Chris Chavannes
Mail to: Garden State Summer Academy
221 Court Street, Elizabeth, New Jersey 07206