Academy Selection:

Full Day Academies: $250 University of Delaware  June 18^th – 22^nd

Full-Day Academies (University of Delaware)

Destination Sky & Beyond

Destination Space

Destination Flight

Destination Orbit

Extended Care Available: 8 AM to 9 AM and/or 4 PM to 5 PM $45 for AM  $45 for PM ($90 per week for both) For your records, the Tax ID # for DASEF is 51-0325362

Extended Care Needed: AM    PM

Overnight Academies:
$550 University of Delaware - July 8^th – 13^thOvernight-Day Academies:

Destination Moon

Desintation Mars

Half Day Academy:
Environmental Outpost, Smyrna, Delaware
Full or Half Day Academies (Smyrna, Delaware)

Destination Ocean: June 25th – June 29th

AM Half Day ($125)

Destination Dinosaur: June 25th – June 29th

PM Half Day ($125)

Student Information:

Student's Name:

First    Middle Initial    Last

Sex:

Birth Date:

Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec      Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31     Year 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Roommate Request (Overnight Only)

Entering Grade 1 2 3 4 5 6 7 8 9 10     School & District

Parent/Guardian Information:

Names:   and/or

E-mail Address: 

Night Phone (please enter numbers only): 

Day Phone (please enter numbers only):   

Cell Phone (please enter numbers only):   

Address

City          State        Zip  

Student T-shirt Size Information:

Youth:    S M L      
Adult:     S M L XL XXL

Fee Calculations: Please fill in the appropriate amounts:

Academy Fee: (includes $50 Non-refundable registration fee)	$
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Before/After Care:	= $
Amount Enclosed (minimum of $50 deposit)	- $
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Amount Due on or before June 15	= $