Summer Academy Registration 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 2022-2023 School Year* Date of Birth* Month Day Year Parent/Guardian Name* First Last Cell Phone*Work PhoneAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Alternate Email Camp Selection: Please select all that apply* (July 11-17) All About Robots (July 11-17) LEGO Camp (July 11-17) Basketball Camp (July 11-17) Spanish Cooking (July 18-22) Robotics and Intro to Coding (July 18-22) Film and Photography Camp (July 18-22) Basketball Camp (July 18-22) Drama and Theatre Camp (July 25-29) Exploring Nature (July 25-29) Animation Basics (July 25-29) Basketball Camp (July 25-29) DC Museums Field Trip Camp (Aug. 1-5) Exploring Nature and Fun with German (Aug. 1-5) Sewing and Sewing Crafts (Aug. 1-5) Basketball Camp (Aug. 1-5) Drama and Theatre Camp Each camp is $325. Please add the total number of camps to the quantity field below.Payment Method* Online Full Day On Campus Session* Price: $325.00 Quantity: Total Credit CardCard Details Cardholder Name