Summer Learning Registration - $50 Non-Refundable Deposit will be applied to Tuition

Parent First Name *

Parent Last Name *

Email (we will keep your email completely private) *

Home Phone *

Cell Phone

Address *

City *

State *

Zip *

Child's Name *

Date of Birth *

Current School *

Subject *

Reading
Math
9th Grade Transition

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$50 Non-Refundable Deposit will be applied to Tuition
After submitting form please mail deposit to:
Mary Morgan, Chesapake Bay Academy, 821 Baker Road, Virginia Beach, VA 23462

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821 Baker Road · Virginia Beach, VA 23462 · Phone 757.497.6200 · Fax 757.497.6304