1. Welcome!

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25% of survey complete.

A short time to go, in a Summer Camp not far away (really close actually!)...

Summer is just around the corner and it is time "Use the Mouse" to sign your padawan up the the best time of their life.

Jedi Masters (Yoda and Jimbo) agree "Super Fun and Cool, A Long Summer is.  Hmmmm!"

Use The Mouse, Luke!  Use the Mouse!

Please fill out a separate registration for each camper!

Please put in your campers info and answer the questions to reserve your spot. There is still a $25 registration fee that pays for 2 camp t-shirts.

* 1. What is your camper's first name?

* 2. What is your camper's last name?

* 3. What is your first name?

* 4. What is your last name?

* 5. What is your street address?

* 6. What City?

* 7. What State?

* 8. What is your zip code?

* 9. What is your home phone #?

* 10. What is your mobile phone #?

* 11. What is your e-mail address?

I will e-mail you to confirm your registration.

* 12. Emergency contact and phone #

* 13. What grade is your child going into next year?

* 14. What school will your camper be attending next year?

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