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Student First Name
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Student Last Name
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Street Address
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City
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Zip Code
*
Grade for the 2024-25 School Year:
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5th
6th
7th
8th
9th
10th
11th
12th
Adult T-Shirt Size:
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Small
Medium
Large
X-Large
XX-Large
Parent/Guardian First Name:
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Parent/Guardian Last Name:
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Parent/Guardian Email Address
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Parent/Guardian Phone Number:
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Emergency Contact Name:
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Emergency Contact Number:
*
Please list special considerations (food allergies, medical conditions, etc.):
*
Summer Camps 2024
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5th-8th Grade, June 17th-21st 9:30am-11:30am
I have a $50 camp voucher.
Please present certificate at first day of camp registration.