Jr. Camp 2019 - Child Registration
July 15, 16 & 17 (Monday-Wednesday) - Grade 1st - 6th

Class assignment will be based on the grade your child completed this school year.

**NEW FOR 2019: 180 children (30 per grade) are guaranteed placement in camp. After a particular class has reached 30 children, any registration received will be placed on a waiting list if it is for a full class. You will receive an email acknowledgement in any case within in 24 hours after registration.

Children must be registered by July 1st in order to be guaranteed a Jr. Camp t-shirt.

***NOTE: Any question that is not applicable can be answered - NA***

Class Registration:
NOTE: CLASS ASSIGNMENT WILL BE BASED ON THE GRADE YOUR CHILD COMPLETED THIS SCHOOL YEAR!
Child's Name: *
Your answer
Age: *
Your answer
Parent/Guardian Name: *
Your answer
Parent/Guardian Phone: *
NOTE: Please format number as: XXX-XXX-XXXX
Your answer
Parent/Guardian Email: *
PLEASE! Ensure you enter your email correctly as you will be sent a confirmation to this address.
Your answer
Emergency Contact: *
Your answer
Emergency Contact Phone: *
Please format number as: XXX-XXX-XXXX
Your answer
People allowed to pick up your child: *
Please ensure names are spelled correctly and correct punctuation/capitalization is used. The person(s) listed will be the only individual(s) allowed to pick up your child from camp.
Your answer
Grade Completed (Ending this school year): *
NOTE: CLASS ASSIGNMENT WILL BE BASED ON THE GRADE YOUR CHILD COMPLETED THIS SCHOOL YEAR!
T-Shirt Size: *
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