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Summer Invitational
admin
2023-11-09T19:20:39-05:00
Pass Academy Summer Invitational Program
On-line Summer Registration for the Pass Academy Invitational Program at Bullis School
2025 SUMMER Invitational Registration Form
Week 1 - 9 (2pm - 6pm)
Week 0 (4pm - 8pm)
Student's Name
*
First
Last
Age
*
Please enter a number from
12
to
18
.
Parent Information
Parent's Name
*
First
Last
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Parent's Email Address
*
Enter Email
Confirm Email
Parent's Phone
*
Progam Information
Students must receive approval from our coaches to participate in this class. Clinic packages are only good for the summer in which they were purchased. If a student cancels/withdraws due to injury, illness or any other reason after the start of the program, NO REFUND will be issued. NO REFUND will be given for missed classes.
Multi-Week Discount Packages
Program Options & Fees
3 Registration Options:
1) Multi-Week Discount Packages
2) Individual Weeks
3) Drop In Days
Package Options
4 Weeks of Summer Invitational Program $1,600
8 Weeks of Summer Invitational Program $3,000
Nothing/Clear
Select Desired Weeks (4 or 8)
Week 0p: June 9 - 13
Week 1p: June 16 - 20
Week 2p: June 23 - 27
Week 3p: June 30 - July 3 (4 days)
Week 4p: July 7 - 11
Week 5p: July 14 - 18
Week 6p: July 21 - 25
Week 7p: July 28 - Aug. 1
Week 8p: Aug. 4 - 8
Week 9p: Aug. 11 - 15
Additional weeks can be purchased at the discounted rate via emailing admin@passacademybullis.com
Individual Weeks
Week 0n: June 9 - 13 [4 - 8pm]
Invitational Program (Wk0) $440
Nothing/Clear
Week 1n: June 16 - 20 (no 19th, 4 days)
Invitational Program (Wk1) $370
Nothing/Clear
Week 2n: June 23 - 27
Invitational Program (Wk2) $440
Nothing/Clear
Week 3n: June 30 - July 3 (4 days)
Invitational Program (Wk3) $370
Nothing/Clear
Week 4n: July 7 - 11
Invitational Program (Wk4) $440
Nothing/Clear
Week 5n: July 14 - 18
Invitational Program (Wk5) $440
Nothing/Clear
Week 6n: July 21 - 25
Invitational Program (Wk6) $440
Nothing/Clear
Week 7n: July 28 - Aug 1
Invitational Program (Wk7) $440
Nothing/Clear
Week 8n: Aug 4 - 8
Invitational Program (Wk8) $440
Nothing/Clear
Week 9n: Aug 11 - 15
Invitational Program (Wk9) $440
Nothing/Clear
Drop In Days
Number of Drop In Days ($100 per day)
Quantity
Price:
$100.00
Quantity
Mon-Fri 2pm-6pm
Drop In Date(s)
Enter the desired date(s).
Total Fees
$0.00
Credit Card
*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
Expiration Date
Security Code
Cardholder Name
Session
Summer: June - August 2025
Medical Authorization & Release
Students Name
*
First
Last
Student Condition
*
By checking this box it is understood that the student is in overall good physical health. If your child has a physical condition that may limit or restrict participation in certain activities, a physician’s note granting permission to participate in such activities must be presented prior to the first class session.
Date of Medical Authorization
*
MM slash DD slash YYYY
By dating above, in an emergency, when I/we cannot be contacted, I/we hereby authorize the staff of the Pass Academy to take my/our child to the emergency room of the nearest hospital. I/we authorize that hospital and its medical staff to provide treatment deemed necessary for the well-being of my/our child.
Date of Parent Release
*
MM slash DD slash YYYY
By dating above, I agree to hold the Pass Academy and Bullis School harmless for injury or loss that may occur as a result of my participation in Pass Academy activities.
Cancellation Policy
*
By checking this box I accept the following policy. All refunds prior to the start of the program are subject to fee charges of 6%. No refunds after the start of the program.
Permission for Photo Use
*
Yes
No
I give permission for photos of my child participating in Pass Academy at Bullis programs to be taken and used for the Pass Academy Website and/or Facebook page. We understand that if students are identified, only their first names will be used.
Additional Information (optional)
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