2019 CAIU Summer Camps Registration
Please complete the form for one student at a time.

All camps we be held at the CAIU Campus in Enola.
55 Miller Street
Enola, PA 17025.

Half day: 9:00 am-12:00 pm
Full day: 9:00 am-3:00 pm

Registration deadline: May 31, 2019

*No early drop-offs permitted.
*Guardians must sign children in and out each day.
*Lunch is not provided. Please pack accordingly.
*Vending machines will be available at designated times for snacks/drinks.

Email address *
Camper's Last Name *
Your answer
Camper's First Name *
Your answer
Guardian's Last Name *
Your answer
Guardian's First Name *
Your answer
Guardian's Street Address *
Your answer
Guardian's City *
Your answer
Guardian's State *
Your answer
Guardian's Zip Code *
Your answer
Guardian's Day-time Phone Number *
Your answer
Camper's entering grade of the 2019-2020 school year: *
Camp Choice Week of 6/24/19 - 6/27/19
Camp Choice Week of 7/1/19 - 7/3/19
Camp Choice Week of 7/8/19 - 7/11/19
Camp Choice Week of 7/15/19 - 7/18/19
Camp Choice Week of 7/22/19 - 7/25/19
Photographic Release Form *
How did you hear about us? *
You may check more than one option if necessary.
Required
Other Informational Items
Payment is due 2 weeks before the first day of camp.

Checks can be made payable to Capital Area Intermediate Unit.

Visa, MasterCard and Discovery accepted (There will be a 4% processing fee for credit card payments.)

Comments/Concerns
Your answer
A copy of your responses will be emailed to the address you provided.
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