Child's Last Name (required)

    First Name (required)

    Gender:(required)FemaleMale

    Age (required)

    Youth T-Shirt Size(required)

    School (required)

    Grade attended 2015-2016 (required)

    Home address (required)

    Parent/Guardian 1 Name (required)

    Parent/guardian 1 Email (required)

    (Include area code)daytime phone (required)

    (Include area code)cell phone (required)

    Parent/Guardian 2 Name (required)

    Parent/guardian 2 Email (required)

    (Include area code)daytime phone (required)

    (Include area code)cell phone (required)

    GENERAL INFORMATION:

    Location: 8513 Oceanview Drive, Emerald Isle, NC 28594

    Lunch: Lunch is prepared daily as part of the program. If you prefer to send your child’s lunch, please be sure that your child’s lunch is clearly marked with your child’s first and last name. Refrigerators will be available for your child to store his/her lunch. Glass bottles/containers are not allowed.

    Sessions:

    Session I -- June 12-16, 2017
    Full day -- 8:30AM – 5PM --- Fee: $400/week
    Half day -- 8:30AM - 12:30 PM --- Fee: $225

    Session II     -- June 19-23, 2017
    Full day -- 8:30AM – 5PM --- Fee: $400/week
    Half day -- 8:30AM - 12:30 PM --- Fee: $225


    A deposit of 25% must be received 45 days before the first day of the session the child will attend. The balance is to be paid 30 days before the first day of the session.
    A $25 discount will be given if full payment is made before the deposit due date. Unfortunately, we cannot provide make-ups or refunds for any days missed for any reason. Please do your best to come to Isla Esmeralda every day. Payment instructions will be provided upon completion of preliminary registration.

    For more information, contact us at
    Email:[email protected]

    To begin the registration process, please provide the preliminary information requested to the left. After we receive your information, we will contact you and ask you to download and sign the complete registration form at the link below:
    ISLA ESMERALDA IMMERSION PROGRAM REGISTRATION FORM
    Please submit this completed and signed registration form at the time of your final payment.