Thomas Sumter 2019 Summer Camp
Thank you for your interest in our TSA 2019 Summer Camp. Please fill out the form below.
Email address *
Student's Full Name(s) *
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Gender *
Gender (student 2) *
Student's Date of Birth *
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Student's Date of Birth (if more than one child)
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Grade level(s)
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Name of Parent/Guardian 1 *
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Relationship to student *
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Address *
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Home phone *
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Cell phone *
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Work phone *
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Name of Parent/Guardian 2 *
Your answer
Relationship to student *
Your answer
Address *
Your answer
Home phone *
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Cell phone *
Your answer
Work phone *
Your answer
Emergency Alternative Contact & Authorized Adult to Pick up Name *
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Relationship *
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Home phone *
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Cell phone *
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Work phone *
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Does your child suffer from any allergies, disability or other medical conditions? If yes, please detail below: *
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Enrollment Fee/Field Trip Fee *
A copy of your responses will be emailed to the address you provided.
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