Parent/Guardian Approval

It is required by The Johns Hopkins University that parents and/or guardian(s) sign this application form.

I approve of this application and will permit (name)_______________________________to attend the Summer Program at The Johns Hopkins University. If he/she is accepted and enrolled, I agree to pay tuition costs and residential/commuter fees. I recognize that refunds can only be made according to the refund schedule stated on the Summer Programs website. I understand the necessity for his/her conformance to the academic and social policies of the program and of The Johns Hopkins University and that failure to abide by these regulations may result in his/her dismissal.

For All Students: Signature of mother/guardian Print name Address Work phone ( ) Home phone ( ) Signature of father/guardian Print name Address Work phone ( ) Home phone ( ) Date -

Email Date

Email

For Commuter Students Only: Signature of local guardian Print name Address Work phone ( ) Home phone ( ) Date -

Email

Agreement of Applicant
If admitted to the Johns Hopkins Summer Programs, I agree to abide by the academic and social policies of the program and of The Johns Hopkins University. I understand that failure to abide by these regulations may result in dismissal. Applicant’s signature Date -

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