Parent Email Address (Please provide so we can send you the camp confirmation and payment link.) *
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Summer Camp & Week of Participation in the Camp *
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School & Grade in 2020-2021 School Year *
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Emergency Contact Information (Name, Phone #, Relationship to the Student) *
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Additional Information (Please list any medical conditions or allergies) *
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Publicity Information: I allow photographs to be taken of my child during camp activities. *
Parental Consent: I am familiar with the rules and regulations of the Boyertown Area School District Summer Camp Program and hereby approve this registration. *