Amigos Career Summer Camp 2019
July 8th - 11th
Ivy Tech Community College
2357 Chester Boulevard, Richmond IN 47374
9:30 AM - 2:00 PM

July 12th
Friday of Survival
Hayes Arboretum: 8001 Elks Road, Richmond IN 47374
9:30 AM - 2:00 PM

Cost: $30 (for the whole week) for the first student
$15 for the second student
$10 for the third

Free lunch provided

Participant's Name/Nombre del Participante *
Your answer
Age/Edad *
Your answer
Grade/Grado Escolar *
Date of Birth/Fecha de Nacimiento *
Your answer
T-Shirt's (adult) Size / Talla (adulto) de Camiseta (Playera) *
Parent's or Legal Guardian's Name/Nombre de los Padres o Gurdian Legal *
Your answer
Phone Number/Numero Telefonico *
Your answer
Food Allergies known/Alergia alguna? *
If Yes, please describe what kind of allergies / En el caso de tener alergias, por favor explique en detalle. *
Your answer
Address/Domicilio *
Your answer
Emergency Contact (Name, Relationship, Ph. number) / Contacto en Caso de Emergencia ( Relacion con el participante, # de telf. etc). *
Your answer
What country are the parents from? De que Pais son los padres? *
Your answer
$30 Registration Fee (for the entire week)- Have you Paid/ Usted Pago la registracion de $30 (por la semana completa)? *
Need to sign documents? Necesita firmar el documento? *
Do you need transportation? Necesita transportacion? *
Are you student's shot records up to date? Please bring a copy on the first day / Esta su estudiante al dia con las vacunas? Por favor traer una copia al primer dia. *
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