BCSD Imagination Adventure Registration 2020
Please fill out the form in its entirety.

Imagination Adventure will be (1) Four week session beginning July 20th.
Student First Name *
Student Last Name *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Address *
City *
Zip Code *
Cell Phone Number *
Home Phone Number
School Attended for 2019-2020 School Year *
Grade Completed in 2019-2020 *
Primary Emergency Contact *
Relationship to Student *
Phone Number of Emergency Contact *
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