WILL YOUR CHILD BE JOINING HUDSON HILLS IN FALL 2024? *

YES

NO

Applicants for Toddler Program (ages 18-36 months)

Please check off which weeks your child will be attending. Please note that all children will need to register for a minimum of 3 half days.

WEEK 1 - 6/24 - 6/28

WEEK 2 - 7/1 - 7/3

WEEK 3 - 7/8-7/12

WEEK 4 - 7/15 - 7/19

WEEK 5 - 7/22 - 7/26

WEEK 6 - 7/29- 8/2

WEEK 7 - 8/5 - 8/9

WEEK 1 ANIMAL WEEK

WEEK 1 6/24-6/28

4 FULL

4 HALF

5 FULL

5 HALF

WEEK 2 LIBERTY WEEK

7/1 to 7/3 NO CAMP 7/4 & 7/5

3 FULL

3 HALF

WEEK 3 NATURE WEEK

7/8 - 7/ 12

4 FULL

4 HALF

5 FULL

5 HALF

WEEK 4 STORYBOOK WEEK

7/15 - 7/19

4 FULL

4 HALF

5 FULL

5 HALF

WEEK 5 FUN IN THE SUN

7/22- 7/26

4 FULL

4 HALF

5 FULL

5 HALF

WEEK 6 LITTLE CHEFS WEEK

7/29 - 8/2

4 FULL

4 HALF

5 FULL

5 HALF

WEEK 7 AROUND THE WORLD

8/5- 8/9

4 FULL

4 HALF

5 FULL

5 HALF

Student Name *

First Name

Last Name

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

####

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

(###)

###

####

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

To Whom Correspondence should be sent*

Both Parents

Parent I

Parent II

Select if Applicable

Parents Divorced

Parents Married

Single Parent

Mother Remarried

Father Remarried

Mother Deceased

Father Deceased

Parents Separated

We certify that no information concerning this applicant has been withheld or misrepresented.*

First Name

Last Name

Your application is regarded as a formal request for consideration of your son or daughter as a potential student at Hudson Hills Academy, and as authorization to obtain transcripts and recommendations from previous schools. Hudson Hills Academy welcomes and considers all applications without regard to race, religion, or ethnic, or national background. Hudson Hills Academy admits students of any race, religion, or ethnic origin to all the rights, privileges, programs and activities generally accorded or made available to students at Hudson Hills. Hudson Hills Academy does not discriminate in any way to the basis of race, color, nationality, or ethnic origin or in the administration of its educational policies.* *

ACCEPT ABOVE TERMS

Electronic Signature of Preparer/Parent *

First Name

Last Name