MCF Summer Camp Registration - 2018
MCF Summer Camp Registration - 2018
Student Name *
First Name Last Name
Your answer
Date Of Birth *
MM/DD/YYYY
Your answer
Student Grade *
Grade enrolled for next academic year (2018-2019)
Your answer
Parent / Guardian's Name(s) *
Mother/Father/Guardian
Your answer
Email Address *
Your answer
Home Address *
Your answer
Home Phone Number *
(555)-555-5555 - Include Area Code
Your answer
Mobile Phone Number *
(555)-555-5555 - Include Area Code
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Would you like to contribute towards the infrastructural improvements for Summer School?
Your answer
Allergies or special instructions about the student?
Your answer
Are you enrolling a sibling of this student?
I/We will follow rules and regulations of Summer Camp laid by organizing committee in the best interest of my child’s safety. Failure to do so, in the event of any incident I/we will not hold MCF/Summer Camp committee liable/responsible.
Disclaimer: *
Required
Date *
Today Date - MM/DD/YYYY
Your answer
Suggestions / Comments / Feedback
Your answer
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