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Renaissance Camp 2019
Registration Form
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* Indicates required question
Email
*
Your email
What is your child's first name?
*
Your answer
What is your child's last name?
*
Your answer
What is your child's date of birth?
*
Your answer
How old will your child be during the week of camp?
*
Choose
5
6
7
8
9
10
11
12
What grade is your child entering in Sept 2019?
*
Choose
K
1
2
3
4
5
6
7
8
What is your first and last name?
*
Your answer
What is your relation to the child?
*
Your answer
Please provide us a contact list of phone numbers with names. List as many as you feel necessary.
*
Your answer
Any food allergies we should be aware of?
*
Your answer
Do you allow pictures of your child to be taken and posted on the math helpER+'s Facebook, Twitter and Website and affiliate websites?
*
Choose
Yes
No
How did you learn about Renaissance Camp?
*
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We've been members of the math helpER+ tutoring agency.
Friend's recommendation
Facebook
St. Rose emails and flyers
Other
A copy of your responses will be emailed to the address you provided.
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