Summer Program Registration | The East Hampton Star

Student Information

First Name

Last Name

Grade

Age

Session I (Begins Third Week of July 2024)

Session II (Begins First Week of August 2024)

Preseason Special (June 23-30)

Parent/Guardian Information

Parent's Name

Phone

Address

City/Town

State

ZIP

Additional Information

Student's previous writing and/or journalism experience:

Are there any particular topics that your student would like to learn more about? Likes? Dislikes?

Is there anything you’d like for us to know about your student as it pertains to news, media, reading or any other issues of which we should be made aware?

Please list any injuries, physical, and emotional challenges, vision or hearing difficulties, allergies, learning disabilities and any other information that would help us serve your student:

Pick-Up Information

Please list all adults who have your permission to pick up your student and provide their cell phone numbers:

Student Information

Parent/Guardian Information

Additional Information

Pick-Up Information

Do not enter credit card information here. We will contact you individually to make arrangements.