2019 STUCO-Leadership Camp
Leadership Camp Registration Form
(for incoming 3rd, 4th, 5th, and 6th graders)

July 1st, 2nd, and 3rd
9:00am to 11:30am

REGISTER NOW PAY AT CAMP!

Student First Name *
Your answer
Student Last Name *
Your answer
Grade (based on 2019-2020 school year) *
Current School *
Your answer
T-shirt Size *
Parent / Guardian Name (Primary) *
Your answer
Parent/ Guardian E-mail (Primary) *
Your answer
Parent/ Guardian Phone Number (Primary) *
Your answer
Parent / Guardian (Secondary)
Your answer
Parent/ Guardian E-mail (Secondary)
Your answer
Parent/ Guardian Phone Number (Secondary)
Your answer
Allergies or any comments/concerns?
Your answer
Who will pick up your child each day? *
Your answer
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