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Summer Discovery On-Line Registration

Thank you for registering!

Just complete this form. Click on Submit when ready to send.

 

Grade in the Fall
(Student needs to be entering grade 4, 5, 6, or 7. No exceptions.)

4
5
6
7

Camper's Name

Birth date

Age

School

Has this student attended Summer Discovery before?

yes
no

Has a brother or sister of this student attended Summer Discovery before?

yes
no

Week

1: June 19 - 23
2: June 26 - 30
3: July 10 - 14

Parent's Name

E-mail Address

Parent Mailing Address

Home Phone of Parent

Cell or Work Phone of Parent

 

Emergency Contact Name

Relation

Home Phone of Emergency Contact

Cell or Work Phone of Emergency Contact

 

 

Does the participant have any health conditions or allergies we should be aware of?