Get Ready Form

Submit this form to enroll your child in the "Get Ready" program

Please fill out this form for each of your children. Items with an asterisk must have your response or the form will not be able to be submitted. The form allows you to choose to make your payments either online or by check. Thank you for choosing Mt. Helix Academy, San Diego's premier Trans K - 9 school.

Child's Name*
First Last
Child's Birth Date*
MM
DD
YYYY
My child's grade this coming fall*
Parents' information
Please enter as much of the information in this section as you can. You will also be asked to provide certain medical, emergency, and custody information on the first day of the Summer Program of your choice.
Mother's Name
First Last
Mother's Home Address
Street Address City ZIP / Postal Code
Mother's Daytime Phone • Cell if possible
Mother's Email Address
Father's Name
First Last
Father's Home Address
Street Address City ZIP / Postal Code
Father's Daytime Phone • Cell if possible
Father's Email Address
All the information provided on this form is, so far as I understand, completely true.*
- YES
- NO
PAYMENT OPTIONS
PAYMENT TYPE*
- Pay online with Credit Card - RE-DIRECTED TO SECURE PAYMENT SCREEN - 3% fee added.
- Mail check to: TIEE, Attn: Trish Dart, 2255 Camino Del Rio South, San Diego, CA 92108
All Deposits Are Non-Refundable
Session Options - 3% fee added*
- Session I (June 18...July 6) - Full Payment - $721.00
- Session II (July 9...July 27) - Full Payment - $721.00
- Session III (July 30...August 16) - Full Payment - $721.00
- All Three Sessions I, II & III - Full Payment - $2163.00
- DEPOSIT (Non-Refundable) Session I - $206.00
- DEPOSIT (Non-Refundable) Session II - $206.00
- DEPOSIT (Non-Refundable) Session III - $206.00
- DEPOSIT (Non-Refundable-All 3 Sessions)-$618.00
Pay with credit card
Session Options*
- Session I (June 18...July 6) - Full Payment - $700.00
- Session II (July 9...July 27) - Full Payment - $700.00
- Session III (July 30...August 16) - Full Payment - $700.00
- All Three Sessions I, II & III - Full Payment - $2100.00
- DEPOSIT (Non-Refundable) Session I - $200.00
- DEPOSIT (Non-Refundable) Session II - $200.00
- DEPOSIT (Non-Refundable) Session III - $200.00
- DEPOSIT (Non-Refundable-All 3 Sessions)-$600.00
Paid by Check
Total
$0.00

Submit this form to enroll your child in the "Get Ready" program

Parents' information

PAYMENT OPTIONS