University Park Summer Enrichment Camp Registration
Please complete this form to register your student for University Park's 2017 Summer Enrichment Camp Classes!
Student First Name *
Your answer
Student Last Name *
Your answer
Student's School *
Your answer
Student's Grade (for 2017-2018 School Year) *
Students Age *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Email *
Your answer
Parent/Guardian Contact Number *
Your answer
Emergency Contact/Authorized for Pick-Up (Name/Phone Number) *
Your answer
Emergency Contact/Authorized for Pick-Up (Name/Phone Number) *
Your answer
I do hereby authorize the UPark NC staff to contact the person(s) named above in case of emergency *
Your answer
How will child be leaving from class and/or camp? (Parent pick up, walk/bike on own, etc.) *
Your answer
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