History Summer Camp 2024 Registration
History Summer Camp is for students ages 8-11.  Camp is being held this year from June 24 through June 27, 2024 from 9:00 am - 3:00 pm.  Cost is $165.00 per camper.  For more information, please email director@wolcotthouse.org  PLEASE USE A SEPARATE FORM FOR EACH CHILD
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Child's Last Name *
Child's First Name *
Grade in the 2024-2025 School Year *
Age *
Name of School Attended by Child *
Parent/Guardian Full Name *
Street Address *
City, State, & Zip Code *
Home Phone Number *
Cell Phone Number *
Email Address *
1st Emergency Contact Name *
1st Emergency Contact Phone Number *
2nd Emergency Contact Name  *
2nd Emergency Contact Phone Number *
3rd Emergency Contact Name  *
3rd Emergency Contact Phone Number *
Does your child required any accommodations?  If so, please describe.  We will make every effort to accommodate all requests made.  
Have You Attended Our History Summer Camp Before? *
Required
Where did you hear about this program? *
I give permission to use photos or video strictly for publicity purposes. *
Required
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