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*Grade ChoiceTransitional KindergartenKindergarten1stParents' informationPlease 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 possibleMother's Email Address Father's Name First Last Father's Home Address Street Address City ZIP / Postal Code Father's Daytime Phone • Cell if possibleFather's Email Address All the information provided on this form is, so far as I understand, completely true.*YESNOPAYMENT OPTIONSPAYMENT 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 92108All Deposits Are Non-RefundableSession Options - 3% fee added*Session I (June 17...July 5) - Full Payment - $721.00Session II (July 8...July 26) - Full Payment - $721.00Session III (July 29...August 16) - Full Payment - $721.00Early Bird Rate for all 3 Sessions Paid by May 1- Full Payment $1854.00All Three Sessions I, II & III - Full Payment - $2163.00DEPOSIT (Non-Refundable) Session I - $206.00DEPOSIT (Non-Refundable) Session II - $206.00DEPOSIT (Non-Refundable) Session III - $206.00DEPOSIT (Non-Refundable-All 3 Sessions)-$618.00Pay with credit cardSession Options*Session I (June 17...July 5) - Full Payment - $700.00Session II (July 8...July 26) - Full Payment - $700.00Session III (July 29...August 16) - Full Payment - $700.00Early Bird Rate for all 3 Sessions Paid by May 1-Full Payment $1800.00All Three Sessions I, II & III - Full Payment - $2100.00DEPOSIT (Non-Refundable) Session I - $200.00DEPOSIT (Non-Refundable) Session II - $200.00DEPOSIT (Non-Refundable) Session III - $200.00DEPOSIT (Non-Refundable-All 3 Sessions)-$600.00Paid by CheckTotal $0.00 Total $0.00