Summer Science Camp Online Registration

Registration and Release Form

Child Information
Parent/Guardian/Emergency Contact/Authorized to pick up information
Parent/Guardian
Parent/Guardian
Emergency Contact (authorized to pick up)
Emergency Contact (authorized to pick up)
Medical Information/Special Notes
#

Also note that we will not handle any medications.

Entering your name here represents your signature on this document.

Payment

Fee for camp is $130.00 per week.

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