MAXIMUM IMPACT REGISTRATION FORM 2026
CAMPERS INFORMATION - scroll down to fill out the remainder of the form and submit.
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Email *
Child's First Name *
Child's Last Name *
T- Shirt size *
T-shirts by GPSA - sizes not Guaranteed after May 31st
T-shirts by GPSA - sizes not Guaranteed after May 31st
Gender *
Birth date
MM
/
DD
/
YYYY
Entering Grade in the Fall *
Important info about your child we should know about
e.g. Allergies - learning disabilities (if any) *Leave blank if "None"*
CONTACT INFORMATION
Parents Name *
Home address *
Phone number - (where we can contact you during camp) *
Other Phone Number
Emergency Contact *
In case we cannot get a hold of you
Emergency Contact Phone # *
Session Information
Please check the session you plan to attend *
What school does the camper attend *
How did you hear about our camp (check all that apply)
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