St. John’s Northwestern

Military Academy

Summer Programs

Returning Summer Programs Registration

 

This registation form is for returning students only in Summer OPS, Camp St. John's Northwestern and Raiders School. If you are a new student, please apply online here.

 

1.
* Boarding or day program?
Boarding   Day
2.
* Indicate the programs you are applying for (1 required)
Camp St. John's Northwestern - Session 1 (July 2-8, 2017)
Camp St. John's Northwestern - Session 2 (July 9-15, 2017)
Camp St. John's Northwestern - Session 3 (July 16-22, 2017)
Camp St. John's Northwestern - Session 4 (July 23-29, 2017)
Summer OPS Academic Program (June 25-July 29, 2017)
Raiders School (August 14-23, 2017)

  

PARENT/GUARDIAN INFORMATION

  

3.
* Parent/Guardian Name
4.
* Address
5.
* City, State, Zip Code
6.
* Telephone
7.
* Email

   

STUDENT INFORMATION

   

8.
* Student's Name
9.
* School currently attending
10.
* Grade
11.
* Since the student last attended SJNMA, has he been dismissed or requested to withdraw from a school?
Yes   No
12.
* Since the student last attended SJNMA, has he been arrested, detained, or ticketed by the police, juvenile authority, or any department of health and social services?
Yes   No
13.
* Since the student last attended SJNMA, has his overall health changed or does he have any physical limitations?
Yes   No
14.
* Since the student last attended SJNMA, has he received counseling for emotional or behavioral difficulties?
Yes   No

   

By submitting this registration form, I hereby request that my son/ward be considered for admission to Camp St. John’s Northwestern, Summer OPS or Raiders School subject to the current terms of payment and prevailing rules and regulations at the school. I understand that any misrepresentation made on this application or during the admissions process may result in involuntary rejection/dismissal of my son/ward.

 

* Email Address:

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