BCA/WPS Summer School/Camp Registration Form
We welcome students entering Pre-K through 5th grade to our BCA Summer School and 6th through 8th grade to our WPS Summer Camp!
Please fill out a form for each individual student.

BCA/WPS Summer School/Camp information can be found on our websites.

★ Bellevue Children's Academy (Pre-K - 5th):
www.bcacademy.com | summer@bcacademy.com
★ Willows Preparatory School (6th - 8th):
www.willowsprep.com | summer@willowsprep.com

- Main Phone Number: 425-649-0791

★ Bilingual Summer School (Pre-K - 5th)
www.bcasaturdayschool.com | saturdayschool@bcacademy.com
425-785-8032

# Please complete an ACH form within 3 days if you are a non-BCA/WPS family or wish to change your bank information for withdrawals. ACH form can be downloaded from BCA or WPS websites.

Email address
Student's Name
Your answer
Student's Gender
Name of the school (Fall 2017)
Please complete the ACH form to set up the payment process if you are a non-BCA/WPS family. ACH form can be downloaded from BCA/WPS websites.
Parent's Name
Your answer
Contact Phone #
Your answer
Address
Your answer
Emergency Contact Phone #
Your answer
Does your child have any allergies?
-- If yes, please list below
Your answer
Photo/Video Release Authorization
Student's Grade (Fall 2017)
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