FAME/Destined Inc. Read 2 Succeed Summer Camp          June 1 - July 15
Please complete a separate application for each child.  Call us at 470-228-2399 if you need assistance.  Contact us if there is a financial barrier, we will discuss your situation and how we can work together especially if students need a boost in academic skills.  The camp will be held at First AME Church, 521North Hull Street, Athens GA.  June 1 - July 15, Monday - Friday,  7:30 am - 4:30 pm Grades PreK- 6th grade students.  
Sign in to Google to save your progress. Learn more
Email *
Student Last Name *
Student First Name *
Birthdate *
MM
/
DD
/
YYYY
Age *
Grade that the child was in this school year *
School student attended last year (write NA if none) *
Tshirt Size *
Mother/Guardian Last Name *
Mother/Guardian First Name *
Mother/Guardian Phone *
Mother/Guardian Email Address *
Mother/Guardian Home Address, City, Zip *
Mother/Guardian Alternate phone *
Father/Guardian Last Name *
Father/Guardian First Name *
Father/Guardian Email Address *
Father/Guardian Phone *
Father/Guardian Alternate Phone *
Father/Guardian Home Address, City, Zip *
Emergency Contact 1 -Name and Phone Number *
Emergency Contact 2 - Name and Phone Number *
Full name of all persons authorized to pick up your child (separate by commas). They must have ID ready to show staff. *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms