Senator Summer Camp Registration
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
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Child's Name *
Parent Name *
Address and Phone Number *
Building Your Child Attends *
Current Grade (2021-2022 School Year) *
I would like transportation for my child. *
Transportation pick-up and drop-off locations.  Please check the one that is closest to your location. *
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