Senator Summer Camp Registration

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Please complete this form to register your child for summer camp.
Date: July 5- August 5 (5 Weeks)
Time: 9:00 am - 1:00 pm
Transportation: Pick-Up and Drop off Locations
Breakfast and Lunch Provided
Academic Focus: Reading and Math
Field Trip Friday if your child attends 3 out of 4 days Monday-Thursday

Child's Name *

Parent Name *

Address and Phone Number *

Building Your Child Attends *

PWES

PWMS

Required

Current Grade (2021-2022 School Year) *

Kindergarten

Grade One

Grade Two

Grade Three

Grade Four

Grade Five

Grade Six

Grade Seven

Grade Eight

I would like transportation for my child. *

Yes

Transportation pick-up and drop-off locations. Please check the one that is closest to your location. *

The Complex

Old Fire Department on the West Side

Hill's Florist

Starlight Church on Dry Run

Minix Giovanni's #2

Lett Terrace

Jericho Church on Carey's Run

Old Friendship Post Office

Friendship United Methodist Church

Turkey Creek Church St. Rt. 125

Marina Mart

Buena Vista Fire Department

General Store

My child does not need transportation.

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