Tech Camp June 17-20, 2019 Registration Form
Tech Summer Camp 2019 classes are free to rising 3rd-8th graders. These classes are compliments of the Franklin County Public Schools Technology Services Department. Please fill out all required fields below, then click Submit. For more information call 540-483-5128 and ask for Dinah.
Student First Name *
Your answer
Student Last Name *
Your answer
Current School for this school year 2018-19: *
Grade Level for next school year 2019-2020: (camp is for rising 3rd - 8th graders only) *
Home address: *
Your answer
Parent/Guardian Name: *
Your answer
Parent/Guardian Daytime Phone #: *
Your answer
Parent/Guardian email address: *
Your answer
Emergency Contact Name(s), Phone #s, & Relation to Student: *
Your answer
Person(s) Allowed to Pick Up Your Child at 12:00pm: *
Your answer
Medical Condition(s) & Special Instructions:
Your answer
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