Summer Camp Registration
2023 Summer Registration Form
6000 Meadowbrook Mall Ct., Suite 200 Clemmons
336.778.1121
2023 Summer Camps & Intensives 
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Student's Name: *
Date of Birth/Age (as of June 1): *
Full Address: *
Home ph/Cell ph: *
Parent's Email: *
How did you hear about us: *
Do you wish to be evaluated for our competition team, the Academy? *
Which Camps will you attend?
Which Class(es) will you attend? July 10-August 18
If you only want to attend certain days of certain camps, list them here:
For our Academy, please list the weeks you plan on attending:
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