summer2026

Child's Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Age:*

Child’s Date of Birth:*

Gender:*

Race:*

Name of School:*

For the Summer Literacy & Leadership Academy, which location will your youth be attending?*

Grade Level:*

Parent/Guardian Name:*

Relationship to Youth:*

Email*

Home Phone:

Work phone:

Cell:*

Emergency contact*

Emergency contact's phone number:*

Relationship to youth:*

Is your youth a returning scholar?*

T-shirt size:*

Register for 2026
SUMMER LITERACY & LEADERSHIP ACADEMY