Get Ready Form

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

Session Options*

Session I (June 19...July 7) - Full Payment - $700.00
Session II (July 10...July 28) - Full Payment - $700.00
Session III (July 31...August 17) - 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

Total

$0.00

PAYMENT TYPE*

Pay online with Credit Card - RE-DIRECTED TO SECURE PAYMENT SCREEN
Mail Check - Mail your non-refundable deposit to: TIEE, Attn:Trish Dart, 2255 Camino Del Rio South, San Diego, CA 92108

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

Parents' information

PAYMENT OPTIONS