Register

Thank you for considering The Grade. To apply for the program, please complete the registration and payment sections below.

The rate for the program is $700. This rate includes the Father-Son Retreat in September. The rate for the program without the Father-Son Retreat is $600.

There is an option to only register for the Father-Son Retreat.

Financial considerations should not prevent anyone from attending. A scholarship may be requested. For more information, contact program director Conner Reilly at conner.david.reilly@gmail.com.

For more information, please visit the link below.

to make a payment for the program, please Visit the payments page

The Grade also accepts donations. If you would like to contribute to the program, please visit the donations page.

Program Registration Options

Student Information

Student Name (First)

Student Name (Last)

Date of Birth

YYYY

Grade Level Entering in the Fall

School

Student E-mail

Home Phone

(###)

###

####

Mentor Pairing

Was the student in The Grade last year?

Yes

If the answer to the above was 'No', how did you hear about The Grade?

What are some of the student's hobbies and interests?

Parent Information

We would like to receive supplemental materials on parenting and formation.

Yes

Father Name (First)

Father Name (Last)

Father E-mail

Father Cell Phone

(###)

###

####

Mother Name (First)

Mother Name (Last)

Mother E-mail

Mother Cell Phone

(###)

###

####

Address

Address Line 1

Address Line 2

City

State

Zip/Postal Code

Country

Release

MEDICAL RELEASE: By entering my name below, I understand that I am signing as a parent or legal guardian of the applicant. In signing, I authorize The Grade staff to seek medical assistance for my son, should the need arise.

Please list any dietary restrictions below.

PHOTO RELEASE: By entering my name below, I understand that I am signing as a parent or legal guardian of the applicant. In signing, I authorize any photography that includes my son to be used for the purpose of promoting The Grade. I understand that such photography remains property of The Grade.

If you have any additional comments for the program directors, please mention them here.

Payment Options

to make a payment for the program, please Visit the payments page

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