Halifax Community College - 2019 P.R.I.D.E.Summer STEM CAMP Information Form
Release Waiver & Medical Treatment Form Behavior Management Policy and
Student Information Form Photography/Video Release Form
Name of student(s) attending camp.
Grade of the student(s) attending camp (must be 6th grade or higher.
Birth Date of the student(s) attending camp.
Mothers Cell Phone Number:
Fathers Cell Phone:
In the event of an emergency, if unable to contact parent(s) or guardian, please contact:
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