Custom Summer Program Enrollment

Complete Custom Summer Program Enrollment Fee and Tuition below.

Parent/Guardian Name
First Last
Student Name
First Last
Grade Level (Current School Year)
Email
Which Summer Session are You Looking to Enroll in?
- June- 4 Weeks
- July- 4 Weeks
See https://excelsiorhouston.com/summer-program/ for Dates
TOTAL PRICE - Discounted Tuition and Enrollment Fee
Notes to Administration Regarding Your Payment
Goals and Additional Comments About Your Needs
Total
$ 0.00
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

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