Middle School Reaching Out to the Community 2019
Join us for a week of service to the community and fun with friends!
Students can expect to complete 12 hours of community service during our camp!
Who: Students entering 6th-9th grades in the 2019-2020 school year
When: June 24-28, 2019 8 AM - 5 PM (program runs from 9 AM - 4 PM)
Cost: Early Bird (through March 20) = $190; Regular Rate = $200
Participant's Name (Preferred first and last) *
Your answer
Parent/Guardian Name *
Your answer
Grade for the 2019-2020 School Year *
Student Cell # (if applicable) *
Your answer
Student e-mail (if applicable) *
Your answer
Best Parent/Guardian Contact Phone # *
Your answer
Best Parent/Guardian Email *
Your answer
Student Mailing Address *
Your answer
Does your youth have any special physical or medical needs of which we should be aware? (Please include all food, material, animal and environmental allergies.) *
Your answer
Is there anything we should know to help us offer your youth have a positive and productive week in our camp? (i.e. special learning needs, school accommodations that may apply at camp, etc.) *
Your answer
Do we have your permission to photograph or video your youth? *
Do we have your permission to publish your youth's image in the following formats (check all that apply)? *
Required
Youth's T-Shirt Size (participants will receive 1 shirt for the summer if registered in multiple camps) *
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