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jCAMP at JMU July 15-19, 2018 REGISTRATION FORM
Please complete all required fields. You will be registered when your check made payable to VAJTA is received. Send to VAJTA, 501 N. Armistead Street, #102, Alexandria, VA 22312. Early Bird fee (by March 1) - $475; Regular Registration fee (by May 1) - $525; Late Registration Fee (by Jun 1) - $575. After we receive your check, we will send you a release form for you and your parents to sign and return plus a list of things you will need for camp and information about arriving at JMU on July 15.
Last Name *
Your answer
First Name *
Your answer
Male or Female? *
Home address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
Make sure you list phone number where we can most easily reach parents for emergency purposes
Your answer
Parent email address *
Your answer
student email address *
Your answer
school name *
Your answer
school city *
Your answer
school state *
Your answer
participant's date of birth *
xx-xx-xxxx
Your answer
graduation year *
Your answer
who do you request as your roommate? *
Allergies/health concerns/special diet? *
Enter none if you don't have any
Your answer
t-shirt size *
What is your FIRST choice for your course sequence at jCAMP? *
We will make every effort to make sure you get your first choice, but keep in mind that we will have to have a minimum number of students enrolled in sections in order for them to make.
What is your SECOND choice for your course sequence at jCAMP? *
We will make every effort to make sure you get your first choice, but keep in mind that we will have to have a minimum number of students enrolled in sections in order for them to make.
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