Summer Program Enrollment Fee Complete Summer Program Enrollment Fee Summer Program Enrollment Fee Parent/Guardian Name First Last Student Name First Last Grade Level(Select Grade Level)Pre-KindergartenKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thEmail Enrollment FeeMarch- Early EnrollmentApril- Regular EnrollmentMay- Late EnrollmentWhich Summer Session are You Looking to Enroll in? June- 4 Weeks July- 4 Weeks See https://excelsiorhouston.com/summer-program/ for DatesNotes to Administration Regarding Your PaymentTotal $ 0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name