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Tuition Discount Program Entry
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* Indicates required question
Your Full Name:
*
Your answer
Are you over the age of 18?
*
No
Yes
Email Address:
*
Your answer
Phone Number:
*
Your answer
What is the best way to contact you?
*
Email
Phone
Student's Name:
*
Your answer
Student's Age Group:
*
7-9
10-12
13+
What is your student's 1st choice in camp location?
*
Your answer
What is your student's 2nd choice in camp location?
Your answer
What week(s) can your student attend camp (mark all that apply)?
*
June 1 - 5
June 8-12
June 15 - 19
June 22 - 26
June 29 - July 3
July 6 - July 10
July 13 - 17
July 20 - 24
July 27 - 31
August 3 - 7
August 10 - 14
August 17 - 21
Required
Is your total household income below the Maximum Income amount for your household size as set out in the table above?
*
Yes
No
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