Camp Coyote Registration
Camp Coyote will be August 11th from 8:30am-11:30am OR 12:30pm-3:30pm for new to Mirror Lake Students
Email address *
Parent or Guardian Name *
Your answer
Name of your student *
Your answer
Grade of your student *
Which session will your student be attending *
Does our student take any medication or have allergies? *
Your answer
Name of medication/allergy and time for medication if applicable. *
Your answer
Phone number that you can be reached at during Camp Coyote hours *
Your answer
Cost is $10. Form of payment *
A copy of your responses will be emailed to the address you provided.
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