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*

Sign in the box or use the keyboard to type.

Signature field is empty.

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)

Please select student's t-shirt size if you would like a t-shirt

Youth XS$10

Youth Small$10

Youth Medium$10

Youth Large$10

Adult Small$10

Adult Medium$10

18688 FM 986

Poetry, Texas, 75160

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