College Application Boot Camp

To secure enrollment please pay online or print and fill out the form and mail it with a payment in full of $870.00. Checks can be made out to Buxton School. Mail check and form to Amrita Lash, 70 Baxter Rd, Williamstown, MA, 01267 no later than August 15, 2016. You will receive an email confirmation of registration. For further information contact Amrita Lash at amrita.lash@buxtonschool.org

Parent/Guardian Name(s)*
Mailing Address*
Child's Name*
Age
Parent/ Guardian email
Home Phone
Cell
Emergency Contact*
Allergies or health concerns?
Permission to ride in school vehicles*
- Yes
- No
Photo Permissions*
- Yes
- No
Permission for Buxton School to use photographs of your child for future brochures or advertising for summer programs.
Please choose a time slot*
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Comments
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