Wonder Academy Wonder Camp Registration 2023

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Please fill out this application as a first step to your child becoming a part of our Wonder Academy family.

Email *

Parent Name

Parent Number

Date of Registration for Student *

YYYY

First Date of Summer Camp Enrollment *

YYYY

Last Date of Summer Camp Enrollment *

YYYY

First and Last Name of (each) child *

Child's/Children's Date of Birth *

HEALTH CARE NEEDS: For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan must be completed by the child’s parent or health care professional. Does your child have a medical action plan? *

Yes

List any allergies and the symptoms and type of response required for allergic reactions. *

List any health care needs or concerns, symptoms of and type of response for these health care needs or concerns. *

List any types of medication taken for health care needs. *

Please share any other information that has a direct bearing on assuring safe medical treatment for your child: *

Other pertinent family information you wish to share with us: (i.e., other people residing in the home, etc.): *

Please describe if your child does have any habits, needs, schedules, or unique behavior characteristics you feel we should know about. *

Registration Fee

To officially secure your child's enrollment in one of our classrooms, please enter your credit card information to pay your child's registration fee of $99.

Name on Card

Billing Address

Zip Code

Credit Card Number

Expiration Date

CVV Code

A copy of your responses will be emailed to the address you provided.

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