Summer Session Application - Sunrise School of Ormond Beach

Please fill out the form below to apply for the 2025 Summer Program.

Fields marked with an * are required

Student First Name *

Student Last Name *

Student Date of Birth *

Summer Session Dates *

Student Age *

Home Address *

Student Grade Level for 2025-2026 School Year *

School Student Attends *

Emergency Contact First Name *

Emergency Contact Last Name *

Email *

Phone Number *

Any Allergies, restrictions, or medical needs *

Any specialized learning needs: *

Will you be paying for Summer Session via StepUp Direct Pay? *