Summer Camp 2017!
Registration form for SUMMER CAMP! 2017 at Voyager Academy. A separate form must be completed for each child. This camp is only for rising 1st thru rising 8th grade students. This camp IS open to students who do not attend voyager academy!
Please enter the time stamp shown on your orgsonline receipt. *
If you submitted payment in person, please enter the special time code shown on your receipt.
Your answer
Student Information
First Name *
Your answer
Last Name *
Your answer
Names of persons authorized to pick up your child.
Please list and separate by commas. If none, type "none"
Your answer
Gender *
Birthdate *
MM
/
DD
/
YYYY
Current Age *
Your answer
T-shirt size *
sizes will not be exchanged
Grade *
Select the grade that the student will be promoted to.
Student Address *
street number, street name, city, state, zip, apt/ste
Your answer
Parent Information
Mother's Name (First, Last) *
Your answer
Mother's Address (if different from student)
street number, street name, city, state, zip, apt/ste
Your answer
Mother's Email *
Your answer
Mother's Work Phone *
Your answer
Mother's Cell Phone *
Your answer
Father's Name (First, Last)
Your answer
Father's Address (If different from student)
street number, street name, city, state, zip, apt/ste
Your answer
Father's Email *
Your answer
Father's Work Phone *
Your answer
Father's Cell Phone *
Your answer
Student Resides With *
Required
Emergency Contact *
Name, Relationship to child, Phone Number
Your answer
Emergency Contact *
Name, Relationship to child, Phone number;
Your answer
Name of Persons Authorized to Pick up your child: *
(separate by commas)
Your answer
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