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BCSD Imagination Adventure Registration 2020
Please fill out the form in its entirety.
Imagination Adventure will be (1) Four week session beginning July 20th.
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* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Cell Phone Number
*
Your answer
Home Phone Number
Your answer
School Attended for 2019-2020 School Year
*
Choose
Benjamin Franklin
Calvin Coolidge
Horace Mann
MacArthur
Theodore Roosevelt
Thomas Jefferson
Woodrow Wilson
Grade Completed in 2019-2020
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Choose
TK/Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
Primary Emergency Contact
*
Your answer
Relationship to Student
*
Your answer
Phone Number of Emergency Contact
*
Your answer
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