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Davenport Summer Math Camp 2021
Please fill out this form by May 31st. For questions, please contact Colette Morris at
cmorris@midlandesa.org
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Student Name
*
Your answer
Email Address (parent or guardian)
*
Your answer
Contact Phone Number (parent or guardian)
*
Your answer
Address:
*
Your answer
Have you taken Algebra 1?
*
Yes
No
School attending in the fall
*
Your answer
What grade level will the student be entering in the fall?
*
Your answer
Payment Link (please see cost on flyer)!
https://paypal.me/CTEMCESA?locale.x=en_US
Your answer
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