Summer Academic Camp

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We appreciate you participating in our Summer Educational Program. Please complete this form. After we receive it, you get a separate invoice via email. We will start on July 5, 2023, and will end on August 25, 2023 from 7:00am-6:00pm or half days 7:00am-12:00pm (Monday-Friday). Our camp incorporates Math, Reading, Writing, Financial Literacy, Many sports.

Email *

Student Name (First and Last Name) *

Student Date of Birth *

YYYY

Does the Student have any Allergies *

Yes

Current Grade Level *

Any known learning disabilities? If Yes, explain.

Parent Name (First and Last Name) *

Phone Number (with area code) *

Method of Payment *

Credit Card-We will email you an invoice

Cash

Check

Money Order

We will be taking pictures and video of marketing purposes. You give permission for your child to participate. *

Yes

How did you hear about this program *

We will be transporting the students to the workout facilities. Please be aware we follow traffic safety rules, and CDC guidelines. *

I agree

Send me a copy of my responses.

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