Thank you for considering a Delphi Summer for your child!

My name is Maria Agrillo and I am the Head of Admissions at Delphi Academy.

Please fill out the form below and I will be happy to answer all your questions or get you started on enrollment.

Name:
Email Address:
Street Address:
City:		State:
Zip Code:
Telephone:
Name of Child:
Sex:	Choose One Male Female	Grade Level:
Currently enrolled in...	Choose One Public School Charter School Private day School Private boarding School Home School Not Started School Yet Other
Age
Name of Child
Sex	Choose One Male Female	Grade Level:
Currently enrolled in...	Choose One Public School Charter School Private day School Private boarding School Home School Not Started School Yet Other
Age:
What would you like your child/children to accomplish academically this summer?
Get extra help in an area of difficulty?	If so, what areas or subjects? Improve Study Skills?
Explore new subjects?	Science Mathematics English Expository Writing Creative Writing History
What activities are you most interested in having your child/children participate in at Delphi?	Swimming Day Trips Camping Rock Climbing Sports Soccer Camp Softball Camp Basketball Camp Art Junior Engineering Stop-Motion Film-making Waterslides Crafts Photography Other (please specify)
Do you have any questions about our program?
What would you like your son/daughter to achieve this summer?
How did you find out about Summer at Delphi?	Through KQED or KTEH Friend/Family Referral Bay Area Parent magazine Camp Fair Advertisement Mailer