Aspire Achiever's Camp Registration
Register your child for an upcoming camp session. Just submit the form below!
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Camper Information
Child's First Name *
Your answer
Child's Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Sex
T-Shirt Size *
Parent's Name *
Your answer
Email *
Your answer
Phone number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Your answer
Diagnosis/Accommodations needed *
Your answer
Allergies/Medical Precautions *
Your answer
Camp Selection
Limit One Camp Per Child
Camp Date *
Session *
Payment Method *
Optional Information
How did you hear about us?
Your answer
Submit
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