2008 Summer Camp Registration

Please fill out the following form and mail or drop off the $25 registration fee in order to complete registration.

Child's First Name Dad Home Phone
Child's Last Name Dad Work Phone
Grade Completed Dad Cell Phone
Address Days Attending
M T W TH F
City Time Attending
6-6
Zip T-shirt Size
Mom Name Allergies  
Mom Home Phone Special Needs  
Mom Work Phone Comments  
Mom Cell Phone  
Dad Name Email Address
name@isp.com