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
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Student's School
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Student's Grade (for 2017-2018 School Year)
Students Age
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Parent/Guardian Name
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Parent/Guardian Email
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Parent/Guardian Contact Number
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Emergency Contact/Authorized for Pick-Up (Name/Phone Number)
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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.)
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