Four Cs Summer Camp Registration
Please complete the following registration information.
Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Address *
Your answer
City *
Your answer
Zip *
Your answer
Grade Level for Next School Year (2019-2020) *
Will you need transportation to participate in camp? *
Parent/Guardian Name (Emergency Contact) *
Your answer
Parent/Guardian Phone 1 (Emergency Contact) *
Your answer
Parent/Guardian Phone 2 (Emergency Contact)
Your answer
Parent/Guardian Phone 3 (Emergency Contact)
Your answer
Parent/Guardian Email
Your answer
Important Medical Information
Your answer
Photos are an important part of modern experiences. I understand that my student may appear in photos taken at the Four Cs Summer Camp and may be used or distributed by the staff for current or future publications. *
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