At Home Summer Camp Registration
To better meet the needs of our customers please provide answers to the questions below
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Email *
First and Last Name *
Best phone number to contact *
How did you hear about us?
First Name of your child (children)
What grade are they going in to? *
How many Younger kits (created for rising 1-3 graders) *
How many Older kits (created for rising 4-6 graders) *
Kits are $125 and include over 50 activities along with 5 videos and access to 25 instructional video directions. Payment for the kits will be accepted in check or cash upon pickup of the kit. There are two options for delivery: Pick up from our office located in Roswell, GA or coordinate a local delivery. *
At this time, we are only able to provide local, Georgia,  delivery for kits. If you would like your kit delivered locally, please provide what GA city and zip code you are located in and we will coordinate a pick up location.  
Please type YOUR (the submitter's) full name below as your electronic signature:  Once we receive the submission of this form we will email with more details along with pick up location options *
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