Academy Credit Program
Please fill out the form to begin the registration process.
Student Name
*
First Name
Last Name
Student's Preferred Name or Nickname
*
Student's Gender
*
Please Select
Male
Female
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Prefer not to say
Student's current grade level in school
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Please Select
Grade 8
Grade 9
Grade 10
Grade 11
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Date of Birth
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Month
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Day
Year
Date
Mailing Address (Include Street, City, State or Country, Postal Code)
*
Student Email Address
*
example@example.com
Student Phone Number (include country code)
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Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number (include country code)
*
Please select one answer
*
I am coming for the summer program only. I will only be on campus in August.
I am coming for the summer program and then I will be staying as a full-time residential student at The Woodstock Academy for the upcoming school year.
I agree that I am responsible for paying my own flights to and from Connecticut (closest airport: Boston), for arranging proper travel documents (passport, visa), and for paying the full tuition.
*
Yes
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Academy Credit Program - 3 Weeks (August 3-23)
$
6,000.00
If you have more than one student to register, please fill out this form again.
Total
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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