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Summer Experience Registration

Required

Parent Information

 

Parent/Guardian Namerequired
First Name
Last Name

Student Information

I would like to register
Student Namerequired
First Name
Last Name
Must contain a date in M/D/YYYY format
My student is a required
Student's grade for the 2023-2024 school yearrequired
Grade Point Average

Second Student Information

Student Name (2)required
First Name
Last Name
Must contain a date in M/D/YYYY format
My student is a required
Student's grade for the 2023-2024 school yearrequired
Grade Point Average

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!

$250.00
$2,500.00
$1,500.00
$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
$500.00
$5,000.00
$3,000.00
$1,000.00

Payment Information

Please select a payment typerequired
Billing Addressrequired
Cardholder Namerequired