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 in grade 6, 7 and/or 8 during the 2023-2024 school year.

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Email *
Student Last Name *
Student First name *
List any known allergies, medications, or physical limitations for the above student. If none, write "none" *
2023-2024 Grade Level  *
Required
Which High School Will Student Attend? *
Required
Permission to photograph your students and use photos for our social media postings, school website, newsletters, and other outreach for the CPACTC? *
Required
Parent Name *
Parent Email Address *
Street Address *
City *
State

*
Zip Code

*
Parent Contact Phone Number

*
Emergency Contact Phone Number

*
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