Centrifuge Summer Camp Registration
When: June 19th -23rd

Where: Southern Wesleyan University

How much: $280 total (per student), $50 deposit to hold your spot

Don't let money be an issue, we have you covered! Let us know if you need help paying for camp.
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Participant's Name *
first and last name of student or chaperone registering to go
What grade will participant have completed as of June 2023? (adult chaperones choose adult chaperone option) *
Phone Number (Student/Chaperone) *
Parent's Phone Number: (Chaperone's Put NA) *
Parent Email (Chaperone's Put Your Email Address) *
Participant's Shirt Size: *
Any food allergies or dietary needs *
Please list any medical conditions we need to be aware of: *
How do you want to pay? *
Any questions or concerns
Contact Jackson:

jackson@thomsonfumc.org

(706) 831-7287
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