Eisenhower National Historic Site - Eisenhower Academy Application (U.S. National Park Service)

Yes, I would like to attend the Eisenhower Academy.

Name _________________________________________________

Address _______________________________________________

______________________________________________________

City ________________________ State _________ Zip ________

Phone Home ___________________ Work ___________________

E-mail Address __________________________________________

School _________________________________________________

Grade/Courses __________________________________________

A non-refundable $50 deposit must accompany this application. The remainder of your payment is due by June 1, 2012. Make checks payable to Eisenhower Academy, Gettysburg Foundation.

___ $695.00 Registration by April 1 (includes $50 deposit) for single, air conditioned room with private bath, microwave, refridgerator, all activities and most meals.

___ $750.00 Late registration through June 1 (includes $50 deposit) for single, air conditioned room with private bath, microwave, refridgerator, all activities and most meals.

___ $485.00 (includes $50 deposit) for day students includes tuition, lunches, field trips, document package, two banquet dinners, and Eisenhower Farm picnic.

Send information on:

PA Professional Education Credits ____ Graduate Credits ____

Mail to:
Eisenhower Academy
c/o Eisenhower National Historic Site 1195 Baltimore Pike, Suite 100 Gettysburg, PA 17325 (717) 338-9114 Fax: (717) 338-0821

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