Middle School Summer Camp
 
Middle School Summer Camp
Student First and Last Name  * 
Grade Entering Fall 2018  * 
Address
City
State
Cell of parent or guardian  * 
Your Email Address  * 
Allergies or other medical conditions
Does your child have medication they take daily? If so, what?  * 
In case of emergency, contact  * 
Phone Number
Relationship to student
PLEASE MAKE SURE YOU ARE REGISTERING FOR THE CORRECT EVENT AS NO REFUNDS ARE AVAILABLE.
Total $
 
 
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