John H. Wilcott
Bahá'í School

Registration

You may register online for the John H. Wilcott Summer School by filling out the form below. Please fill out the form as completely as possible, including all Baha'i ID numbers, if applicable, and birthdates.

Summer school is from August 3, 2011, Check-in 3:00 p.m., to August 7, 2011, Check-out 1:00 p.m.

You may pay by Paypal or by check. A 3% discount applies, if paying by check or cash. A 10% discount applies if paying by July 3, 2011.

You must be 18 years old or older to register. Parents, guardians, or sponsors are required to complete the registration process for children or youth under age 18.

Registration Rates

Adult (Ages 26 and up)	$175
Youth (Ages 4-25)	$95
Child (Ages 0-3)	$10

Online School Registration Form

First Name: *
Last Name: *
Street Address: *
City: *
State: *
Zip Code: *
Birthdate: *
Baha'i ID:
Gender:	MaleFemale
Spouse First Name:
Spouse Last Name:
Spouse Bahai ID:
Spouse Birthdate:
1st Child or Youth Name:
1st Child Baha'i ID:
Birthdate of 1st Child or Youth:
2nd Child or Youth Name:
2nd Child Baha'i ID:
Birthdate of 2nd Child or Youth:
3rd Child or Youth Name:
3rd Child Baha'i ID:
Birthdate of 3rd Child or Youth:
Ethnicity:
Meals	Vegetarian Regular
Special Dietary Needs:
Information on any disability requiring special assistance:
Arrival Date and Time:
Departure Date and Time::
Name of Person to Contact in an Emergency:
Phone Number of Person to Contact in an Emergency:
Lodging Type	CabinTentRV
Additional Information (Include additional children or youth names and ages or any other information you feel is important for us to know):
You may pay online or by check after submitting this form.

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Registration