Registration Form for 2023

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Current Summer Registration

Update to 4-digit year for which this registration form is being used. (e.g. when preparing for summer 2023 classes & registration, set the default value to 2023). This will filter class selection options for parents registering to the correct options for that summer.

Student Name*

First Last

Date of Birth*

Student Gender*

Student School*

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

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

Student Address*

Street Address Line 2 City State ZIP Country

Parent/Guardian Information

Number of Parent/Guardians*

Parent/Guardian 1 Name*

First Last

Parent/Guardian 1 Phone Number*

Parent/Guardian 1 Email*

Enter Email Confirm Email

Parent/Guardian 1 Occupation/Employer*

Parent/Guardian 2 Name*

First Last

Parent/Guardian 2 Phone Number*

Parent/Guardian 2 Email*

Enter Email Confirm Email

Parent/Guardian 2 Occupation/Employer*

Emergency & Legal Information

Medications*

Medication Allergies*

Food Allergies*

Environmental/Other Allergies*

Allergy Instructions*

Other Medical/Social Concerns

Emergency Contact Name*

Emergency Contact 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?*

Emergency Contact Email*

Enter Email Confirm Email

Behavioral Guidelines

Behavioral Guidelines Agreement*

Yes, my child and I have both read, reviewed, and agree to the behavioral guideline.

Class Selection

Session*

Please select a session based on the dates.

Camp Duration Time Options*

Half Day | 9am - 1pm | $250

Full Day | 9am - 4pm | $500

Do you want to add morning care? 8am - 9am*

Selecting yes would add 1 hour of care prior to camp start time.

Yes (+ $50)

Do you want to add morning and afternoon care?*

Selecting yes would add 1 hour of care prior to camp start time and 1 hour of care after camp ends for the day.

Yes (+ $100)

× Your Class 2 selection is a double block course. Please make sure you select the same selection for Class 1 or select a single block option.

× You have selected a Full Day Class. Please select the same course for all Classes.

Class 1 (9 am-10:30 am):*

Class 1 Description

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Class 1 Time Marker

× You have selected a Full Day Course. Please select the same course for Class 2 as Class 1, 3 & 4.

× You have selected a Half Day Course. Please select the same course for Class 2 as Class 1.

Class 2 (10:30 am-12 pm):*

Class 2 Description:

Hidden

Class 2 Time Marker

× Your Class 3 selection is a double block course. Please make sure you select the same selection for Class 4 or select a single block option.

× You have selected a Full Day Course. Please select the same course for Class 3 as Class 1.

× You have selected a Full Day Class. Please select the same course for all Classes.

Class 3 (1 pm-2:30 pm):*

Class 3 Description:

Hidden

Class 3 Time Marker

× You have selected a Half Day Course. Please select the same course for Class 4 as Class 3.

× You have selected a Full Day Class. Please select the same course for all Classes.

× You have selected a Full Day Course. Please select the same course for Class 4 as Class 1.

Class 4 (2:30 pm-4 pm):*

Class 4 Description:

Hidden

Class 4 Time Marker

Payment

Coupon

Total

Credit Card*

Card Details

Cardholder Name

CAPTCHA

Registration Form for 2023

Summer Wonders Registration Form

Parent/Guardian Information

Emergency & Legal Information

Behavioral Guidelines

Class Selection

Payment