Academic Summer Camp 2026

Student Biographical Information

First Name

Preferred Name

Last Name

Birthdate

Why do we collect birthdate?

Gender

Female

Male

Undisclosed

Are you Hispanic or Latino of any race (this includes Spanish and other Spanish origins)?

If not, please check one or more of the following options that you do identify with:

T-Shirt Size

Student Contact Information

Email Address

Mobile Phone Number

Mailing Address

Country

Street

City

Region

Postal Code

Student Academic Information

Expected high school graduation year.

Parent/Guardian Information

First Name

Last Name

Email Address

Mobile Phone Number

Relationship

Summer Camp Details

Would you like to attend day camp or overnight?

Which Summer Camp week have you chosen?

Week One = July 12-17
Week Two = July 19-24

Week 1 Camp Selection (*Registration requires an additional $10 Simulation Fee.)

Week 2 Camp Selection *Registration requires an additional $10 Simulation Fee.)

Do you want to stay for the weekend? (Additional $300)

Yes

No

Would you like to request a specific roommate?

Yes

No

Who is your requested roommate?

Other

Do any of these apply to you?

- I attended academic summer camp at Roberts Wesleyan University in the past
- I am a dual enrollment student at Roberts Wesleyan University
- I have a parent that works at Roberts Wesleyan University

Yes

No

Submit

How did you hear about the Academic Summer Camp Program?

Payment Information

One Week Selection Day Camp

One Week Selection Overnight Camp

Two Week Selection Overnight Camp

Two Week Selection Day Camp

Simulation Fee - Week 1

Simulation Fee - Week 2

Weekend Fee

Day Camp Discount Eligible OR Early Bird (Excludes Both weeks)

Overnight Camp Discount Eligible OR Early Bird (Excludes Both weeks)

Payment Due

Amount Due
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Amount Due

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