St. John’s Northwestern

Military Academy

Summer Academy

Returning Summer Programs Registration

 

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

 

Former Lancers Day Camp participants registering for Camp St. John's Northwestern for the first time must register as a "New student."

 

1.
* Boarding or day program?
Boarding   Day
2.
* Indicate the programs you are applying for (1 required)
Camp St. John's Northwestern - Session 1 (June 30-July 5, 2019)
Camp St. John's Northwestern - Session 2 (July 7-12, 2019)
Camp St. John's Northwestern - Session 3 (July 14-19, 2019)
Camp St. John's Northwestern - Session 4 (July 21-26, 2019)
Summer OPS (June 23-July 27, 2019)
Raider School (TBD 2019)
3.
If you selected Summer OPS, please list the course(s) for which you are applying. (Visit www.sjnma.org/summer-academy/summer-courses.cfm for a list of course offerings.)

  

PARENT/GUARDIAN INFORMATION

  

4.
* Parent/Guardian Name
5.
* Address
6.
* City, State, Zip Code
7.
* Telephone
8.
* Email

   

STUDENT INFORMATION

   

9.
* Student's Name
10.
* Gender
Male   Female
11.
* School currently attending
12.
* Grade
13.
* Since last attending SJNMA, has the student been dismissed or requested to withdraw from a school?
Yes   No
14.
* Since last attending SJNMA, has the student been arrested, detained, or ticketed by the police, juvenile authority, or any department of health and social services?
Yes   No
15.
* Since last attending SJNMA, has the student's overall health changed or are there any physical limitations?
Yes   No
16.
* Since last attending SJNMA, has the student received counseling for emotional or behavioral difficulties?
Yes   No

   

By submitting this registration form, I hereby request that my child/ward be considered for admission to Camp St. John’s Northwestern, Summer OPS or Raider 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 child/ward.

 

* Email Address: