Youth Financial Camp Session Three Registration Grades: 3-5Dates: July 7, 8, 9, 10Time: 9 am to 12:30 pmLocation: Cedar Valley Middle School Please submit one form per child attending. Question Title * 1. Camper's First Name Question Title * 2. Camper's Last Name Question Title * 3. Camper's Age Question Title * 4. Camper's Grade (As of Fall '25) Question Title * 5. Camper's Member Number (If Applicable) Question Title * 6. Has your child attended an A+FCU camp in the past? Yes No Question Title * 7. Does your child have any food allergies? Yes No Question Title * 8. If so, please list the allergies. Question Title * 9. Parent/Guardian's Contact Information Full Name * Address * City * State * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP * Email Address Phone Number Question Title * 10. Parent/Guardian's Member Number (If Applicable) DONE
