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Montgomery County Public Schools CTE Summer Camp Registration
Montgomery County Public Schools - 850 Hungerford Drive, Room 254 - Rockville, MD 20850 - 301-279-8529 - Fax 301-279-3340

-- Complete all required fields. When you are finished, click the submit button.
-- Your completed registration form will be sent to the e-mail address provided on this form.
-- Print the form, sign it, and indicate the payment method and amount (online, cash, check, or money order).
-- Then return the form to the Carver Educational Services Center (CESC), 850 Hungerford Dr., Room 254, Rockville, MD 20850. Forms are accepted via MCPS pony mail, US mail, by fax to 301-279-3340, and by hand delivery. Cash payment requires hand delivery.
-- Your signed/returned registration form and payment completes the registration process.
-- Acknowledgement of the receipt of your form will be sent via e-mail.

An e-mail account that is checked regularly is required for submission of this registration form. Notification of receipt of this registration form, summer camp enrollment confirmation, and other important communications are sent via e-mail. Be sure to set your spam/junk filters to allow e-mail from @mcpsmd.org and @mcpsmd.net.

ID Number (six digits)
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Date of Birth
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MM
/
DD
/
YYYY
Age
Grade (as of Sept. 2017)
Student's Last Name
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Student's First Name
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Student's Ml
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Parent/Guardian's Last Name
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Parent/Guardian's First Name
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Parent/Guardian's Ml
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Daytime Phone
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Evening Phone
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Emergency Contact
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Emergency Contact Phone
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Parent/Guardian E-mail
Be sure to provide an active e-mail address that you check regularly.
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Address (number & street)
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City
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State
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Zip Code
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Your School
Select the school you currently attend.
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