YLGB Middle School - Castaway Club 2019 Camp Registration
Please fill out this form to register for camp. Once you submit all your information you will be prompted to click on a link to our online payment site where you will pay the $20 deposit for camp (if you haven't already paid). CAMP DATES: AUGUST 2nd to 6th, 2019
Student's First Name *
Your answer
Student's Last Name *
Your answer
Street Address *
Your answer
City, State *
Your answer
Zip Code *
Your answer
School Attending *
If your school is NOT listed above, please fill in the box below with your school name.
Your answer
Club Attended *
Gender *
Required
Current Grade *
Student's Email Address *
Your answer
Student's Cell Ph# (if you don't have a cell phone, please enter "none") *
Your answer
Student's Name on Facebook
Your answer
Student's T-Shirt Size *
Parent/Guardian(s) First Name(s) *
Your answer
Parent/Guardian(s) Last Name *
Your answer
Parent/Guardian Preferred Ph# *
Your answer
Parent/Guardian Email
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service