St. Clement's School Summer School Application Form If you are a human and are seeing this field, please leave it blank. Required Student First Name * Student Last Name * Parent Title * Mr.Mrs.Ms.Dr.MissN/A Parent First Name * Parent Last Name * Parent Email Address * Home Address (House # and Street) * Home Address (Apartment/Suite #) City * Postal Code * Parent Home Phone # Parent Business Phone # Parent Cell Phone # Student's Current School * Student's Date of Birth (mm/dd/yyyy) * Student's Current Grade * Grade 9 Grade 10 Grade 11 Grade 12 Course Name & Code * Cooperative Education Earth and Space Science - SES4U (online) * Preferred Deposit Method * A deposit of $300 is required to guarantee a space for your child in the selected course. Once this is received/processed we will confirm your child's enrollment. If your child current attends St. Clement's School, you may elect to have the deposit billed to your daughter's SCS account. Please choose from the following two methods of payment: Please bill my SCS account (SCS students only). Please invoice me. * Earth and Space Science (SES4U) is an online course run in cooperation with the eLearning Consortium Canada. The course runs from July 4 - 28, and the fee is $1,295.