ABERCROMBIE ACADEMY ELEMENTARY SUMMER CAMPS
Open to general public

Avoid summer brain drain and kick-start the school year with fun, brain boosting activities. These fun and educational camps are for students who are about to enter Kindergarten through Fifth Grade in 2019-2020 and are taught by experienced Abercrombie Academy teachers. Additional morning and afternoon WOW STEAM camps are also available throughout summer. Please see Camp Flyer for more information on curriculum and camp activities or go to www.abercrombieacademy.com.

Email address *
Student Name *
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Birth date *
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Grade / Class completed as of May 2019 *
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School or Program attended
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Abercrombie student? *
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Address *
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Parent 1 Name
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Work Phone
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Cell Phone
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Parent 2 Name
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Work Phone
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Cell Phone
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Emergency Contact Name
Please list name of person approved to call for your child. Children will not be released to anyone other than parents without specific written permission.
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Emergency Contact Cell Phone
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Does your child have any allergies? *
If student is not currently enrolled at Abercrombie Academy, please bring a copy of most recent immunization record.
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Please elaborate on allergies (if applicable.)
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I give permission for my child to be included in Abercrombie Academy social media photos. No names will be used.
(This includes our school website, photo galleries, promotional material, Facebook and Instagram)
Camp Schedule
CONSENT (Please type your name in the box below - this is your digital signature) *
I hereby authorize the staff member/s at Abercrombie Academy to consent to emergency medical treatment of my child. • I will be responsible for all expenses incurred by virtue of the emergency medical treatment of my child and for the transportation to the emergency medical treatment facility. I release Abercrombie Academy staff members from any and all claims or actions from liabilities for the injury that occurs to my child as a result of his or her receipt of emergency medical care. I understand and consent to the responsibilities outlined in the Abercrombie Academy school handbook. In the event that I cannot be reached to make arrangements for emergency medical care at the time of an illness or accident, I hereby authorize a member of the Abercrombie staff to take my child to the nearest emergency facility.
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