Summer Camps

Monday - Thursday 9 am - 1 pm; Optional field trip on Friday

July 7 - 11 and July 14 - 18

Bring a lunch and water bottle

Student's First Name

Student's Last Name

Student's Incoming Grade

Parent/Guardian Name(s)

Phone

Email

Emergency Contact 1

Phone Number for Emergency Contact 1

Emergency Contact 2

Phone Number for Emergency Contact 2

Allergies or Special Needs

Available to Volunteer ( Mrs. McBride will contact you with details)

Yes

No

Who may pick your student up at the end of each camp day? List all that apply.

Signature

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Student's T-Shirt Size

Choose all that apply.

Camp Week 1 (July 7 - July 11) $125

Camp Week 2 (July 14 - July 18)$125

Pay at the door for the week of July 7 - July 11 (Check or Cash only)

Pay at the door for the week of July 14 - July 18 (Check or Cash only)