Summer Camp Registration – Wakefield Country Day School

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 2020-2021 School Year*
Date of Birth*
MM
DD
YYYY
Parent/Guardian Name*
First Last
Cell Phone*
Work Phone
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Alternate Email
Camp Selection - Please select all that apply*
AM / PM / Full Day Camp
You may choose to select only morning or afternoon camp. Half-day Camp is $175 per student/per week. Please note AM or PM if needed. If left blank, full day camp will be assumed.
Payment Method*
- Check
- Online
A 2.5% convenience fee will be added to all credit card transactions.
Full Day On Campus Session
Price: $333.00 Quantity:
Full Day On Campus Session
Price: $325.00 Quantity:
1/2 Day On Campus Session
Price: $179.00 Quantity:
1/2 Day On Campus Session
Price: $175.00 Quantity:
Online Session
Price: $179.00 Quantity:
Online Session
Price: $175.00 Quantity:
Total
$0.00
Check Number
Credit Card

Card Details

Cardholder Name