2019 Summer Inspiration Camps for 5th through 11th Grade

Please complete the application below if you are interested in participating in Summer Inspiration Camps.  You will receive a document that will require parents signature in order to complete registration.

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* 1. Student Name (First and Last):

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* 2. Grade Level:

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* 3. Homeroom Teacher

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* 4. Parent Name (First and Last):

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* 5. Phone Number:

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* 6. Physical Address:

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* 7. Requesting Morning Bus Transportation:

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* 8. Pick-up Address for Morning if Requested:

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* 9. Requesting Afternoon Bus Transportation:

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* 10. Drop-off Address for Afternoon if Requested

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* 11. Describe any medical concerns:

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* 12. Emergency Contact Name and Phone Number (if different than above):

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* 13. Monday Camps:

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* 14. Tuesday Camps

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* 15. Wednesday Camps

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* 16. Thursday Camps

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* 17. Please share any camp ideas you did not see that you might be interested in:

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