Information

Welcome! Thank you for registering your child for JA East Tennessee's Summer Venture Camp! During this exciting week-long experience in our BizTown facility, your campers learn about leadership, teamwork, personal finance, and responsibility.

Please fill out the information below to register your child. If you have any questions, please contact Wil (wil@jaeasttennessee.org, or cell: 865-206-1797). Thank You!

NOTE: If you need to register more than one camper using the same contact and payment info, please see the "Register Additional Campers" section at the bottom of this page.
CAMPER INFORMATION:

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* 1. Camper Name (First Last):

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* 2. Camper's Age:

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* 3. Grade in Upcoming School Year:

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* 4. Has camper attended JA Summer Camp before?

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* 5. Has camper attended JA BizTown with their school before?

CONTACT INFORMATION

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* 6. Home/Mailing Address:

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* 7. City:

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* 8. State:

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* 9. Zip Code:

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* 10. Guardian #1 Name (First Last):

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* 11. Guardian #1 Relation to Camper:

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* 12. Guardian #1 Phone:

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* 13. Guardian #1 Email:

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* 14. Guardian #2 Name (First Last):

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* 15. Guardian #2 Relation to Camper:

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* 16. Guardian #2 Phone:

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* 17. Guardian #2 Email:

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* 18. My child will attend JA BizTown Summer Venture camp from June 19 - 23. Cost per child is $150. (Payment information is on the next page of this form)

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* 19. My child will bring a packed lunch daily. JA provides water and light snacks. A Chick-Fil-A lunch is provided on Friday, so no packed lunch is required on that day.

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* 20. If you have additional children to register with the same contact and payment information, please list their names and ages below:

First Last (Age). Example: John Smith (8)

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* 21. How did you hear of our summer camp programs?

Thanks for providing this information! Please proceed to the final page for payment, emergency contact, pick-up procedures, and medical information.

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