Camp Junior Executive 2024 Online Registration Form
**Please note that a student's spot in Camp Junior Executive is not finalized until payment is received.**

Payment can be made online at: https://bit.ly/campjuniorexec24 or by mail or delivery to the attention of Brandy Walker at KIHS.

Participants will receive a confirmation email once registration form and payment are received.
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Camp Junior Executive Information
Camper's Name *
Camper's Age *
Camper's School Grade in August 2024 - MUST be one of the choices listed below *
Camper's School in August of 2024 *
Parent/Guardian Name *
Parent/Guardian Email *
Emergency Phone # *
Photography Release: We like to highlight good things happening in our school and community. We hope to share photos and updates about Camp Junior Exectutive on our two social media platforms. Additionally, we often use pictures of this nature in recruiting future students and in creating Academy promotional materials. If you would like your child to be omitted from any posts or pictures, please indicate this by initialing below.
Parent Permission: I give my permission for my child to attend Kirkwood High School's Camp Junior Executive and participate in all camp activities. I authorize emergency medical treatment for my child if necessary. I have read and understand the refund policy of the camp. 

Please type your full name below to give your electronic signature of the application above.
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