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WMSI Camp Registration - 2016
After you complete this form, send medical, payment and release forms along with payment to WMSI; PO Box 671; Bethlehem, NH 03574
Medical and release forms can be found:
http://www.whitemountainscience.org/s/2016CampRegistrationPacket.pdf
Payment form can be found:
http://www.whitemountainscience.org/s/SummerCampPaymentdocx.pdf
If you have any questions regarding the camp or completing this registration form, please contact William Church via email (
wchurch@whitemountainscience.org
) or phone (603-728-5242)
NOTE: Young Maker Camp has been filled. If you would like to be put on the waiting list please contact:
agoldman@whitemountainscience.org
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WMSI Camp 2016
Camper Name
*
Your answer
What Summer Camp are you signing up for?
*
Robot Camp (Ages 8-10)
Robot Camp (Ages 11-13)
Date of Birth
*
Your answer
Age
*
Choose
5
6
7
8
9
10
11
12
13
Name of custodial parent / guardian
*
Your answer
Address -- Street
Your answer
City
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State
Your answer
ZIP
Your answer
Email Address
*
Your answer
Best phone number to use during camp hours
*
Your answer
Alternate phone number to use
*
Your answer
How'd you hear about us?
Your answer
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