Macedonia Tutoring Registration Form 25-26
Join us for an engaging and enriching summer at Macedonia, where we combine academic growth with exciting experiences! Designed for 2nd through 5th-grade students, our camp provides a dynamic environment that nurtures life skills while incorporating hands-on learning, creativity, and outdoor adventures.  
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Parent/Guardian 1 Name *
Phone Number *
Email *
Scholar Name *
Current School *
Age *
Grade *
Gender *
Date of Birth *
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T-Shirt Size (Children's) *
Parent/Guardian 2 Name *
Phone Number *
Persons Authorized to Pick Up Child *
List any of your child's allergies or health problems, if none put N/A. *
Is your child on any medication? *
Does your child have any medical conditions, behavioral differences, special needs, or diagnoses (e.g., ADHD, autism, sensory sensitivities, allergies, anxiety, etc.) that we should be aware of to ensure their safety and provide the best possible support? 

If yes, please describe any helpful strategies, triggers to avoid, or accommodations that have worked well in the past. If no, type N/A.
 *
If yes, please specify.
Emergency Contact Name *
Emergency Contact Number *
Emergency Contact Relationship to Child *
Can your child swim? *
Here are our field trip options we offer throughout tutoring year:  *
I acknowledge that I will check my email daily for announcements and updates. *
I acknowledge that if the camper is unable to attend a day, I will give at least a 24 hour notice to the director. *
I acknowledge that student pickup from the center is at 5pm. *
I consent to Macedonia Family Resource Center using and sharing your child's photos on social media/our website. *
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