JL Boren PE Play Camp 
Please fill out the form below to register your child for PE Play Camp at JL Boren Elementary. Payment information can be found below. Both registration and payment MUST be completed and received to secure your child's spot in camp. You will receive a confirmation email when your child is added to the camp roster. Please leave a valid email address and phone number. 

Details
Dates: Tuesday, May 28th-Friday, May 31st 
Time: 8:00-11:30 AM
Cost: $100. Includes daily snack & popsicicle. 
For current Kindergartners-4th Graders 

Payment Options
Venmo: @PE-Playcamp
*Please add your child's name in the payment description.

Drop Off/Check in will begin at 7:30 at the back of Boren Elementary. Please make sure your child brings a water bottle/snacks and is wearing athletic clothing and shoes. No Crocs, sandals, slides, etc. Camp ends at 11:30. More details will be sent as we get closer to June 5th!

For questions please contact NeelyTrotter@misdmail.org 

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Camper Last Name *
Camper First Name *
Child's grade for the CURRENT 22/23 school year.  *
Child's T Shirt Size
Medical Information 
List Medications/Medical Conditions here. If none, type N/A
 *
Guardian Last Name, First Name *
Guardian Cell Phone Number  *
Guardian Email Address  *
Alternate Guardian Last Name, First Name *
Alternate Guardian Cell Phone Number  *
Alternate Guardian Email Address  *
Name(s) of people picking your child up from camp *
Medical Release Information
I hereby grant permission for my camper to participate in the PE Play Camp and acknowledge that he/she is physically able to participate in camp activities. I release Mansfield Independent School District, the JL Boren PE Play Camp, and employees from all claims due to injury or illness which may be sustained by my camper at PE Play Camp

Guardian Signature *
I, the parent/legal guardian, agree entirely to the Medical Release Information. Please type first and last name. 
 *
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