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International Baccalaureate® Diploma Programme
Mathematics
English
Science
Individuals & Societies
World Languages
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Admissions Application: Join Our Thriving School Community
Payment
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Student Life
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Bobcats Blog
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Summer Learning Camp 23: Registration
Parent / Guardian Information
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Camper's Information
Camper's Name
(Required)
First
Last
Camper's Date of Birth
(Required)
MM slash DD slash YYYY
Camper's Grade Entering
(Required)
Gr. 5
Gr. 6
Gr. 7
Gr. 8
Gr. 9
Gr. 10
Camp(s) Attending
Week #1:
July 10th - July 14th
AM - Elective Choice
Robotics & Engineering
Digital Art & Photography
S.A.T. Preparation - Reading, Writing, Language
Music Production & Composition
PM - Elective Choice
Fitness & Sports
Robotics & Coding
Week #2:
July 17th - July 21th
AM - Elective Choice
Robotics & Engineering
S.A.T. Preparation - Reading, Writing, Language
Digital Art & Photography
Music Production & Composition
PM - Elective Choice
Robotics & Coding
Fitness & Sports
Week #3:
July 24th - July 28th
AM - Elective Choice
Robotics & Engineering
S.A.T. Preparation - Reading, Writing, Language
Digital Art & Photography
Music Production & Composition
PM - Elective Choice
Fitness & Sports
Robotics & Coding
Week #4:
July 31th - August 4th
AM - Elective Choice
Robotics & Engineering
S.A.T. Preparation - Reading, Writing, Language
Digital Art & Photography
Music Production & Composition
PM - Elective Choice
Fitness & Sports
Robotics & Coding
Emergency Contact Information
Name
Relation
Phone
Does your child need to take a prescription or over-the-counter medication during camp hours?
(Required)
Yes
No
If yes, please list medications your child will be taking during camp hours.
Will your child be self-administering any of these medications during camp?
(Required)
Yes
No
Allergies (please note whether the allergy is an ingested or contact allergy)
Does your child carry an Epi-Pen?
(Required)
Yes
No
If yes, what is the allergy?
Dietary Restrictions
Emergency Medical Information
Child’s Physician/ Medical Care Provider & Phone Number
Does your child require any special accommodations?
(Required)
Yes
No
If yes, please describe?
Other Information You Think We Should Know
(Relevant information may include: other medical conditions, mobility accommodations, special needs, child’s primary language if not English, etc.)
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)
Yes
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.
Yes
No
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.)
Yes
No
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)
Yes
Summer Learning Camp 23
Total
Payment
Credit Card
(Required)
American Express
Discover
MasterCard
Visa
JCB
Maestro
Supported Credit Cards: American Express, Discover, MasterCard, Visa, JCB, Maestro
Card Number
Expiration Date
Month
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
Security Code
Cardholder Name
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