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2019 Summer Challenger Enrichment Online Registration Opens February 4 Closes April 30
Use this form to register your student for the Summer Challenger Enrichment Camp. **For families registering multiple students, please complete an online registration for each child.
For how many weeks are you registering? *
Which week(s) will the student be attending? *
Required
Which weeks will the student not be attending? *
Select the weeks that your student will not attend.
Required
Date of Birth *
MM
/
DD
/
YYYY
Age of Student *
Student Last Name *
Your answer
Student First Name *
Your answer
Grade Entering *
Please select the grade level your student will be enrolled into August 2019.
Home School *
Please select the name of the school your student will attend in August 2019.
Home Address *
Please enter Street #/Apt. #, Street Name, City, State, ZIP
Your answer
Parent Email *
Your answer
Home/Cell Phone *
Your answer
Work Phone *
Your answer
Emergency Contact *
Name, Relationship to Student, and Day Phone Number
Your answer
Please list the names of anyone who will be picking your child up from camp INCLUDING PARENTS. Your child will only be released to the people on this list when they are dropped off. Grandparents or other relatives/friends will not be allowed to pick up your child unless their name is listed on this form. Please use the name as it appears on their I.D. You may be asked to show your I.D. each day during pickup, so please plan to have it with you. *
Name, Relationship to Student
Your answer
Does your student have a 504, IEP, significant allergies and or any medications? *
List specific medication and/or allergy information. *
Your answer
Currently Enrolled in Challenger? *
Was your student enrolled in the Challenger After-School Program during the 2018-2019 school year?
PAY OPTION *
After completing the online registration, a $50 non-refundable registration fee is required to secure and hold the student’s spot. Registration fee may be brought or mailed to the attention of Challenger at RHSD Central Office on 386 East Black Street. The $50 registration fee will be deducted from the total cost of Summer Challenger, Note your child’s name on check or money order when paying nonrefundable registration fee. Fees may be brought or mailed; RHSD Central Office attention Helen Taylor Challenger Coordinator ~ 386 East Black Street ~ Rock Hill, SC 29730.
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