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Please fill out one form per camper.

Please provide the following parent/guardian contact information.

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* 1. Guardian/Parent First Name:

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* 2. Guardian/Parent Last Name:

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* 3. Guardian/Parent Email:

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* 4. Guardian/Parent Phone Number:

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* 5. If you are a member of Adventure Science Center, please provide your Member ID Number:

Please provide the following camper information.

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* 6. Camper First Name:

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* 7. Camper Last Name:

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* 8. What is the grade group of this camper?
Children must be at least 5 years old with one year of schooling. Register campers for the grade they will be entering in the Fall semester of 2023.

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* 9. Please select the camp week(s) waitlist to which you'd like to be added. 
We will not have camp Week 6 July 3-7

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* 10. Anything you'd like us to know regarding this request?

Thank you for joining the waitlist. We will notify you if a spot opens up for your kiddo! If you have questions regarding the waitlist or would like to check in on your waitlist status, please email camps@adventuresci.org

**Please submit ONE waitlist request PER CAMPER**
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