Discovery Unlimited 2012 Application

Please complete this form in full and enter "submit" to begin the application process. You will receive a written confirmation from us.

The curriculum of Discovery Unlimited is comprehensive and the classes move at an accelerated pace. Consistent attendence is important for successful participation.

If you have any questions, please contact Discovery Unlimited Coordinator Melinda Orzoff.

 

Student's Full Name
Parent's or Guardian's Full Name
Street Address
City
State
Zip
Parent's or Guardian's Home Phone
Parent's or Guardian's Cell Phone or Daytime Phone
Parent's or Guardian's Primary Email
Child's grade level for 2012-2013
Child's current school
School's Phone
School's Address
City/State/Zip
How did you learn about the Discovery Unlimited program?
Has your child participated in Discovery Unlimited before?
Has your child participated in any other enrichment program? (please identify)