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PJMS Maker Camp Registration
Kids love to create, build, and innovate. This is the perfect Summer Camp for kids that love science, technology, and engineering. Maker Camp will provide them with the opportunity to develop their skills, learn new things, and share interests with others. Maker Camp gives kids the chance to design a new world of creativity that merges the traditional and technological in their own unique and independent way.

WHO: Boys and Girls in Middle School
WHERE: Pope John XXIII Middle School, 28 Andover Rd, Sparta Township, NJ 07871
FEE: $200/student. Discounts available for multi-child families.

For more information contact:
-- Kaleidoscope Enrichment: Email sandy@enrichscience.com or call 908-362-9368.

Registration is due 1 week before the camp starts. Please complete a form for each child.

Child’s Name: *
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Child's Age *
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Child's Grade *
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Parent/Guardian Name(s): *
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Phone Number: *
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Email: *
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Address: *
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City: *
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State: *
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Zip Code *
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Emergency Contact: *
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Cell Phone: *
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Does your child have any medical conditions (allergies, physical impairments, injuries, learning difficulties) that might affect his/her participation in this program? Are there be any restrictions to play or activities? *
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I understand that participation in Kaleidoscope activities involve certain degrees of risk. I have carefully considered the risk involved and have given consent for my child to participate in these activities. I understand that participation in these activities is entirely voluntary and requires participants to abide by applicable rules and standards of conduct. I release, hold harmless and agree to indemnify Kaleidoscope Enrichment, the activity coordinators and all employees, volunteers, related parties or other organizations associated with the activity from any and all claims or liability arising out of this participation. *
I give my permission to Kaleidoscope activity coordinators to take photographs and/or video of my child. I understand these pictures may be shared in publicity materials, online and otherwise. My child’s name will not be shared nor will any of their personal information be released. *
Please add me to the Kaleidoscope electronic newsletter, so that I can receive periodic activity ideas, schedule updates and discounts. *
By "signing" below, you verify that all information on this enrollment form is complete and accurate. *
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Payment
You will be sent an emailed invoice for payment within 48 hours of completing this registration. Thank you!
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