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5th-8th Session 2 – form page
Summer Wonders Registration Form | 5-8 | Session 2 | 2022
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This registration form is for classes that apply to children in grades 5-8, during Session 2, for dates: June 13 - 17.
Student Name
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First
Last
Date of Birth
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Month
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2024
2023
2022
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1928
1927
1926
1925
1924
1923
1922
1921
1920
Student Gender
*
Please Select One
Male
Female
Do not wish to provide
Student School
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What grade level will your child be entering this fall?
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Please Select One
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Student Address
*
Street
Address Line 2
City
State
ZIP
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
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Bulgaria
Burkina Faso
Burundi
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Canada
Cape Verde
Cayman Islands
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Chad
Chile
China
Christmas Island
Cocos Islands
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Congo, Republic of the
Cook Islands
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Curaçao
Cyprus
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Denmark
Djibouti
Dominica
Dominican Republic
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El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
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Greenland
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Guadeloupe
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Guinea
Guinea-Bissau
Guyana
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Hungary
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Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
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Panama
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Pitcairn
Poland
Portugal
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Qatar
Romania
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Rwanda
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Saint Helena
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South Georgia
South Korea
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Spain
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Sudan
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Switzerland
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Tokelau
Tonga
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Tunisia
Turkey
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Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Parent/Guardian Information
Parents/Guardians
*
1
2
Parent/Guardian 1 Name
*
First
Last
Parent/Guardian 1 Phone
*
Parent/Guardian 1 Email
*
Parent/Guardian 1 Occupation/Employer
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Parent/Guardian 2 Name
*
First
Last
Parent/Guardian 2 Phone
*
Parent/Guardian 2 Email
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Parent/Guardian 2 Occupation/Employer
Emergency and Legal Information
Medications
*
Food Allergies
*
Medication Allergies
*
Environmental/Other Allergies
*
Allergy Instructions
*
Other Medical/Social Concerns
Emergency Contact 1 Name
*
Emergency Contact 1 Phone Number
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Are Photos Allowed?
*
May we use a photo of your child?
Yes
No
How did you hear about Summer Wonders?
*
Please Select One
Camp Fair
Online Search
Print Advertisement
Word of Mouth
Driving By
Other
How many years have you been to Summer Wonders?
*
First Year
Second Year
Third Year
Fourth Year
Five or more
Email Confirmation
Enter Email
Confirm Email
Enrollment Information
This registration form is for classes that apply to children in grades 5-8, during Session 2, for dates: June 13 - 17.
Please select your Camp Duration Time, which will reveal the available classes for that time period.
Session 2 | Camp Duration Time Options
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Early Morning: 8a-1p (incl. 8a-9a Morning Care) - $550
Regular Morning: 9a-1p - $500
Full Day: 9a-4p - $1,000
Long Day: 8a-5p (incl. 8am-9a Morning Care and 4p-5p Afternoon Care) - $1,100
Choosing Classes: Using the dropdown fields below, rank classes in sequence for each class time period.
Class 1: 9a-10:30a (FIRST CHOICE)
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Please Select One
Democracy & Civic Engagement – Being Part of the Solution (1 of 2)
Let’s Start at the Very Beginning Sewing (1 of 2)
Class 1: 9a-10:30a (FIRST CHOICE)
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Please Select One
Democracy & Civic Engagement – Being Part of the Solution (1 of 2)
Let’s Start at the Very Beginning Sewing (1 of 2)
Class 1: 9a-10:30a (SECOND CHOICE)
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Please Select One
Democracy & Civic Engagement – Being Part of the Solution (1 of 2)
Let’s Start at the Very Beginning Sewing (1 of 2)
Class 1: 9a-10:30a (SECOND CHOICE)
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Please Select One
Democracy & Civic Engagement – Being Part of the Solution (1 of 2)
Let’s Start at the Very Beginning Sewing (1 of 2)
Class 2: 10:30a-12p (FIRST CHOICE)
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Please Select One
Democracy & Civic Engagement – Being Part of the Solution (2 of 2)
Let’s Start at the Very Beginning Sewing (2 of 2)
Class 2: 10:30a-12p (FIRST CHOICE)
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Please Select One
Democracy & Civic Engagement – Being Part of the Solution (2 of 2)
Let’s Start at the Very Beginning Sewing (2 of 2)
Class 2: 10:30a-12p (SECOND CHOICE)
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Please Select One
Democracy & Civic Engagement – Being Part of the Solution (2 of 2)
Let’s Start at the Very Beginning Sewing (2 of 2)
Class 2: 10:30a-12p (SECOND CHOICE)
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Please Select One
Democracy & Civic Engagement – Being Part of the Solution (2 of 2)
Let’s Start at the Very Beginning Sewing (2 of 2)
Class 3: 1p-2:30p (FIRST CHOICE)
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Please Select One
3-2-1 Lift-Off
Class 4: 2:30p-4p (FIRST CHOICE)
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Please Select One
Lock Picking, Hacking Elevators, Tracking Cell Phones and General Mayhem Making Skills
Donations
Would you like to make a donation?
*
Please Select One
Yes
No
Donation Purpose
Donation Amount
Payment
Total
Credit Card
Card Details
Cardholder Name
Coupon Code
Behavioral Guideline
*
Yes, my child and I have both read, reviewed, and agreed to the behavioral guideline.
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