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PTAA ROCKET ELO Camp
Expanded Learning Camp (Reading/Writing/Math and Specials)
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Email
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Name of Parents
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Emergency Phone Number (Please share two)
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Email Address
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Home Address
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Your answer
Parent/Guardian Approved for Student Pick Up
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Your answer
Name of Student
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Your answer
Date of Birth
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Grade Level Completed May 2023
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Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Please send a sack lunch to Camp each day. If you need assistance and qualify through FRL, we will provide a sack lunch for your child.
Does your Child Qualify for Free/Reduced Lunch?
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Yes
No
Does your child have a food allergy or other health concern our summer staff should be aware of?
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Yes
No
Please Note: PTAA will not have a Nurse or Health Aid on duty during the summer. The summer staff will not be able to administer medication. All families must complete a Waiver for participation.
ROCKET ELO Camp will be from June 5-30th from 9-1:00 pm M-F. Will your child be able to participate for the entire month of June?
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A copy of your responses will be emailed to the address you provided.
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