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Summer Experience Registration

Required

Parent Information


 

Parent/Guardian Namerequired
First Name
Last Name
Parent/Guardian Email Addressrequired
Day Phone Numberrequired
Evening Phone Numberrequired
Addressrequired
Cityrequired
Staterequired
Postal/Zip Coderequired
How did you hear about the Summer Experience at Wayland Academy?

Student Information


I would like to register
Student Namerequired
First Name
Last Name
Student's Email Addressrequired
Student's Mobile Number
Student's Date of Birthrequired
Must contain a date in M/D/YYYY format
My student is a required
Enter Student's Current Middle School/High School Namerequired
Location of Current Middle/High Schoolrequired
Student's grade for the 2023-2024 school yearrequired
Current GPArequired
Grade Point Average
Any food/medical allergies?
Comments or Special Requests

Second Student Information


Student Name (2)required
First Name
Last Name
Student's Email Address (2)required
Student's Mobile Number (2)required
Student's Date of Birthrequired
Must contain a date in M/D/YYYY format
My student is a required
Enter Student's Current Middle School/High School Namerequired
Location of Current Middle/High Schoolrequired
Student's grade for the 2023-2024 school yearrequired
Current GPArequired
Grade Point Average
Any food/medical allergies?required
Comments or Special Requests

Deposit/Payment Information


Would you like to make a deposit ($250 per child) to secure your child's spot in the Summer Experience at Wayland Academy?required

Payment must be made prior to Friday, June 30.

Checks should be mailed to:
Wayland Academy
Attn: Summer Experience
101 N. University Ave
Beaver Dam, WI 532916

To make payment over the phone, please email Tara Stewart, Director of Summer Experience, to make arrangements. 

Thank you!

I have opted to pay a deposit ($250) to reserve a spot in the Summer Experience for my student.
$250.00
I have opted to pay in full for my boarding student.
$2,500.00
I have opted to pay in full for my boarding student.
$1,500.00
I have opted to pay in full for my day student.
$500.00
Would you like to make a deposit ($250 per child) to secure my students' spots in the Summer Experience at Wayland Academy?required
I have opted to pay a deposit ($250) to reserve my students' spots in the Summer Experience for my student.
$500.00
I have opted to pay in full for my boarding students.
$5,000.00
I have opted to pay in full for my boarding students.
$3,000.00
I have opted to pay in full for my day students.
$1,000.00

Payment Information

Please select a payment typerequired
Billing Addressrequired
Cardholder Namerequired