Summer Camp application
Summer Camp Registration
* Required
Email address
*
Your email
Student Name
*
Your answer
Student's School
*
Your answer
What grade will your student be in 2018/2019
*
Your answer
Student T-Shirt size
*
XS
S
M
L
XL
Parent/Guardian Name
*
Your answer
Parent Phone Number and Email
*
Your answer
Emergency Contact (Name, Phone Number, Relation to child and Email)
*
Your answer
Are there any allergies or health conditions we should be aware of?
Your answer
Week of Camp (Only select one week)
*
Middle School: Tuesday 7/10 - Friday 7/13
Middle School: Tuesday 7/17 - Friday 7/20
Please remember to use the submit/send the information on this form AND then scroll down for payment options through Paypal. Thank you
Your answer
A copy of your responses will be emailed to the address you provided.
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