Brightest Star Summer Camp 2018 - Registration
Contact us at (973) 829-1973 or brighteststarschool@gmail.com for any questions or concerns.
Name of Camper (First, Last) *
Your answer
Birthdate (MM/DD/YYYY) *
Your answer
Grade (in Fall '18) *
Home Address *
Your answer
Home Phone Number (xxx) xxx-xxxx *
Your answer
Parent/Guardian 1 Name *
Your answer
Parent/Guardian 1 Email Address *
Your answer
Parent/Guardian 1 Phone Number (xxx) xxx-xxxx *
Your answer
Phone Number Type *
Parent/Guardian 1 Secondary Phone Number (xxx) xxx-xxxx
Your answer
Phone Number Type
Parent/Guardian 2 Name
Your answer
Parent/Guardian 2 Email Address
Your answer
Parent/Guardian 2 Phone Number (xxx) xxx-xxxx
Your answer
Phone Number Type
Parent/Guardian 2 Secondary Phone Number (xxx) xxx-xxxx
Your answer
Phone Number Type
Camper Email Address
Your answer
Camper Phone Number (xxx) xxx-xxxx
Your answer
Phone Number Type
Will the camper work as a CIT (must be at 17+)? If you are unsure, select "Maybe," and we will reach out to you. *
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