Summer Camp Registration

Summer Camp Registration

Register for The Walker Academy 6-Week Summer Camp (June 8 – July 17, 2026). Please complete all fields and follow payment instructions below.
Camper's Full Name*

First NameLast Name
Current Grade*
Camper's Date of Birth*

MonthDayYear
Date
Parent/Guardian Full Name*

First NameLast Name
Parent/Guardian Email Address*
example@example.com
Parent/Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Does the camper have any allergies or medical conditions?
How did you hear about The Walker Academy Summer Camp?
Yes, will attend full sessionNo, partial attendance
Payment Instructions: A $50 registration fee is required. Please complete payment online at thewalkeracademy.org by using the DONATION LINK. Enter the confirmation number or note if paid.*
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