Thank you for your interest in our summer camps! Summer Day Care Registration Form 2026 "*" indicates required fields A medical waiver & emergency contact form is also required for each camper. Please provide copies of immunization records and a complete physical for each child NOT currently enrolled at Wakefield Country Day School.Participant's Name* First Last Grade Entering 2026-2027 School Year*Date of Birth* Month Day Year Parent/Guardian Name* First Last Cell Phone*Work PhoneAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Alternate Email Camp Selection a la carte General Day Camp (June 8-12) General Day Camp (June 15-19) General Day Camp (June 22-26) General Day Camp (June 29-July 3) Music, Spanish, Recycled Art, and Outdoor Play Camp (July 6-10) Sculpture Camp (July 6-10) Discovering the World of Bugs Camp (July 13-17) Space Camp (July 13-17) Sewing Camp (July 13-17) Music, Spanish, Recycled Art, and Outdoor Play Camp (July 20-24) LEGO Camp (July 20-24) Around the World Camp (July 27-31) Stitch Camp (July 27-31) General Day Camp (August 3-7) FULL - General Day Camp (August 10-14) - CLOSED Provide the number of Specialty Camp weeks selected above Quantity Price: $325.00 Quantity Provide the number of "General Day Camp" weeks selected above Quantity Price: $250.00 Quantity Daily Drop-in Quantity Price: $60.00 Quantity Daily Drop-in DatesList the individual days requested for General Day Camp drop-in.CLOSED/FULL - Aftercare – Weekly Rate Quantity Price: $140.00 Quantity Aftercare (all rates) held 3PM-5PM for campers signed up for Specialty Camps only.CLOSED/FULL - Aftercare – Daily Rate Quantity Price: $30.00 Quantity CLOSED/FULL - Aftercare – Hourly Rate Quantity Price: $20.00 Quantity Total Credit CardCard Details Cardholder Name A confirmation of your submitted form will appear on the following screen. Students who are not enrolled at WCDS will also need to complete a Medical Waiver. A link to the waiver will be included in the confirmation message. If you have any questions, please contact Susan Jordan at sjordan@wcdsva.org.
