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Washington Preparatory School
Washington Preparatory School
Washington Preparatory School
  • Academics
    • Faculty & Staff
    • International Baccalaureate® Diploma Programme
    • Mathematics
    • English
    • Science
    • Individuals & Societies
    • World Languages
  • Admissions
    • Tuition and Fees
    • Admissions Application: Join Our Thriving School Community
    • Payment
  • Camps
  • Student Life
    • Clubs
    • Bobcats Blog
    • Interdisciplinary Projects
    • Campus
  • Calendar
  • About Us
Home Summer Learning Camp 23: Registration

Parent / Guardian Information

Name(Required)

Camper's Information

Camper's Name(Required)
MM slash DD slash YYYY
Camp(s) Attending
Week #1:
Week #2:
Week #3:
Week #4:
Emergency Contact Information
Does your child need to take a prescription or over-the-counter medication during camp hours?(Required)
Will your child be self-administering any of these medications during camp?(Required)
Does your child carry an Epi-Pen?(Required)
Emergency Medical Information
Does your child require any special accommodations?(Required)
Other Information You Think We Should Know
Authorization for Camp Participation
I authorize my child to participate in the camps listed above. I release Washington Preparatory School from any and all liabilities due to accidents, injury, or other harm to my child.(Required)
Photo/ Video Release
I grant permission to Washington Preparatory School to use, reproduce, and/or publish for promotion photographs and or film footage taken during camp. The use of these photographs and/or videos is strictly limited for use by the camp organizers. They will not be sold or reproduced for sale in any form.
Authorization to Transport Child
I grant permission to Washington Preparatory School to transport my child in a company Bus or Van, driven by an individual authorized by Washington Preparatory School. (Required for the Sports & Fitness elective.)
Behavior Agreement
I understand that any child exhibiting behavior that may cause harm to themselves, other campers, or camp staff will be asked to leave the program. These behaviors include, but are not limited to, hitting, kicking, biting, sexual harassment, and/or possessing weapons or illegal substances.(Required)
Payment
Credit Card(Required)
American Express
Discover
MasterCard
Visa
JCB
Maestro
Supported Credit Cards: American Express, Discover, MasterCard, Visa, JCB, Maestro
Expiration Date
 
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18323 Bothell Everett Hwy Suite 220, Bothell, WA 98012

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