5th-8th Session 2 – form page

Summer Wonders Registration Form | 5-8 | Session 2 | 2022

"*" indicates required fields

This registration form is for classes that apply to children in grades 5-8, during Session 2, for dates: June 13 - 17.

Student Name*

First Last

Date of Birth*

Student Gender*

Student School*

What grade level will your child be entering this fall?*

Student Address*

Street Address Line 2 City State ZIP Country

Parent/Guardian Information

Parents/Guardians*

Parent/Guardian 1 Name*

First Last

Parent/Guardian 1 Phone*

Parent/Guardian 1 Email*

Parent/Guardian 1 Occupation/Employer*

Parent/Guardian 2 Name*

First Last

Parent/Guardian 2 Phone*

Parent/Guardian 2 Email*

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*

Are Photos Allowed?*

May we use a photo of your child?

Yes

How did you hear about Summer Wonders?*

How many years have you been to Summer Wonders?*

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*

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)*

Class 1: 9a-10:30a (SECOND CHOICE)*

Class 2: 10:30a-12p (FIRST CHOICE)*

Class 2: 10:30a-12p (SECOND CHOICE)*

Class 3: 1p-2:30p (FIRST CHOICE)*

Class 4: 2:30p-4p (FIRST CHOICE)*

Donations

Would you like to make a donation?*

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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