Child's Name/El Primer Nombre Del Niño/Apellido Del Niño
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First Name
Last Name
Child's Grade (2024-25 School Year)/Grado del niño (Año escolar 2024-25)
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Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Child’s Home School/Escuela Del Niño
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Blessed Sacrament Catholic Academy - Brooklyn
Divine Mercy Catholic Academy K-8 - Queens
Good Shepherd Catholic Academy - Brooklyn
Holy Child Jesus Catholic Academy - Queens
Immaculate Conception Catholic Academy - Queens
Incarnation Catholic Academy - Queens
Midwood Catholic Academy - Brooklyn
Notre Dame Catholic Academy - Queens
Our Lady Of Fatima - Queens
Our Lady Of Grace Catholic Academy - Brooklyn
Our Lady Of Perpetual Help Catholic Academy - Brooklyn
Our Lady Of Perpetual Help Catholic Academy - Queens
Our Lady Of Sorrows Catholic Academy - Queens
Our Lady of the Snows Catholic Academy - Queens
Our Lady Of Trust Catholic Academy - Brooklyn
Our Lady Queen Of Martyrs Catholic Academy - Queens
Sacred Heart Catholic Academy - Queens
Sacred Heart Catholic Academy of Bayside - Queens
Sacred Heart Catholic Academy(Glendale) - Queens
Saint Adalbert Catholic Academy - Queens
Saint Anselm Catholic Academy - Brooklyn
Saint Athanasius Catholic Academy - Brooklyn
Saint Bartholomew Catholic Academy - Queens
Saint Bernadette Catholic Academy - Brooklyn
Saint Brigid Catholic Academy - Brooklyn
Saint Clare Catholic Academy - Queens
Saint Edmund Elementary - Brooklyn
Saint Elizabeth Catholic Academy - Queens
Saint Ephrem School - Brooklyn
Saint Francis Of Assisi - Queens
Saint Francis Of Assisi Catholic Academy - Brooklyn
Saint Gregory The Great School - Queens
Saint Joan Of Arc School - Queens
Saint Joseph Catholic Academy - Queens
Saint Joseph The Worker Catholic Academy - Brooklyn
Saint Kevin Catholic Academy - Queens
Saint Leo Catholic Academy - Queens
Saint Mark Catholic Academy - Brooklyn
Saint Nicholas Of Tolentine Catholic Academy - Queens
Saint Peter Catholic Academy - Brooklyn
Saint Rose Of Lima Catholic Academy - Queens
Saint Saviour - Brooklyn
Saint Sebastian Catholic Academy - Queens
Saint Stanislaus Kostka - Brooklyn
Saint Stanislaus Kostka - Queens
Saint Thomas The Apostle Catholic Academy - Queens
Saints Joachim And Anne - Queens
St. Michael Catholic Academy - Queens
Select Summer Site Location/Ubicación del sitio de verano seleccionado
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Incarnation Catholic Academy – 89-15 Francis Lewis Blvd, Queens, NY 11427 – (8:00AM – 12:00PM)
Our Lady of Grace Catholic Academy-385 Avenue W, Brooklyn, NY 11223-(7:45AM-11:45AM)
Sacred Heart Catholic Academy-115-50 221st Street, Queens 11411-(8:00AM-12:00PM)
St. Clare Catholic Academy – 137-25 Brookville Blvd, Queens, NY 11422 – (8:00AM – 12:00PM)
St. Francis Catholic Academy – 400 Lincoln Road Brooklyn, NY 11225 (9:00AM – 1:00PM) *Only St. Francis Students Can Attend
St. Gregory the Great CA-244-44 87th Ave, Queens, NY 11246-(8:00AM-12:00PM)
St. Joan of Arc School – 35-27 82nd Street, Queens, NY 11372 – (8:00AM – 12:00PM)
St. Joseph Catholic Academy – 28-46 44th Street, Queens, NY 11103 – (8:00AM – 12:00PM)
St. Kevin Catholic Academy – 45-50 195th Street, Queens, NY 11358 - – (8:00AM – 12:00PM)
St. Michael Catholic Academy - 136-58 41st Ave – (8:00AM – 1:00PM)
St. Peter's Catholic Academy - 8401 23rd Ave – (8:00AM – 12:00PM)
St. Thomas the Apostle Catholic Academy – 87-49 87th Street, Queens, NY 11421 – (8:00AM – 12:00PM)
Do you want your child to receive Academic Counseling/¿Quieres que tu hijo reciba Consejería Académica?
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Yes
No
Parent/Caregiver Name/Nombre Completo Del Padre
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First Name
Last Name
Parent/Caregiver Phone/Número de Teléfono El Padre
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(###)
###
####
Parent/Caregiver Email/Correo Electrónico
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Parent Address – include city, state, zip code/Dirección - incluir ciudad, estado, código postal:
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Emergency Contact Name/Contacto de Emergencia
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First Name
Last Name
Emergency Contact Phone/Teléfono de Contacto de Emergencia
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(###)
###
####
Preferred Language/Idioma Preferido
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Please list any allergies your child may have/Numere las alergias que su hijo pueda tener:
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I hereby grant LEARN It Academic Services permission to photograph, tape, or otherwise make a video reproduction of my child/Por la presente, otorgo permiso a los Servicios Académicos de LEARN It para fotografiar, grabar o hacer una reproducción de video de mi hijo.
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Yes
No
Additional Comments/Questions/Preguntas (Optional)