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CPACTC Middle School Summer Camps 2024 June 12 & June 13, 8:30AM- 11:30AM
Please complete this form to register your child who is currently i
n grade 6, 7 and/or 8 during the 2023-2024 school year.
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* Indicates required question
Email
*
Your email
Student Last Name
*
Your answer
Student First name
*
Your answer
List any known allergies, medications, or physical limitations for the above student. If none, write "none"
*
Your answer
2023-2024 Grade Level
*
6th Grade
7th Grade
8th Grade
Required
Which High School Will Student Attend?
*
Big Spring
Biglerville
Boiling Springs
Camp Hill
Cedar Cliff
Cumberland Valley
East Pennsboro
Greenwood
Mechanicsburg
Newport
Northern York
Red Land
South Middleton
Susquenita
West Perry
Other...
Required
Permission to photograph your students and use photos for our social media postings, school website, newsletters, and other outreach for the CPACTC?
*
Yes
No
Required
Parent Name
*
Your answer
Parent Email Address
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Parent Contact Phone Number
*
Your answer
Emergency Contact Phone Number
*
Your answer
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