Day Camp Registration

To secure enrollment, please fill out the form and pay online.

Parent/Guardian Name(s)*
Mailing Address
Child's Name*
Age
Rising Grade*
Parent/Guardian email*
Home Phone
Cell
Emergency Contact
Any 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, social media, or advertising for summer programs.
Please select a program from the drop down menu*
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