Battle Zone Camp Registration
Please fill this form out as well as possible.  We're looking forward to an exciting camp June 23-27!
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What name does your child go by? *
What is your child's full name? *
First, Middle, Last
What grade did  your child last complete? *
If your child did not last complete one of these grades, please choose "other" and explain.
Parent's name(s) *
The name of the person that we will contact most often
Phone number *
The number(s) at which you're most likely to be reached
Email address *
Street Address *
City, State, Zip Code *
Cell Phone Provider *
(Such as Sprint, Verizon, AT&T, CSpire, Straight Talk, etc.) - this will allow us to send you text messages via email.
Emergency Contacts and numbers other than those given *
Please list any health issues your child has. *
Allergies to food or medicines, medical conditions, etc.  
Child's doctor and phone number
Please list any disabilities, mental or physical, that limit your child's participation in any school activities.  
Please list any accomodations that your child's school provides for his or her learning.  
Does your child have any dietary restrictions? *
Other than allergies.  
Please describe your child's attitude towards mathematics. *
Please describe your child's attitude towards reading. *
Describe your child's educational needs.   *
Child's T-shirt size *
If you don't know, look on the tag of a shirt that you know fits him or her well.  
What is your preferred payment method? *
You may choose more than one.  We will contact you for payment arrangements.  
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