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Sugar River Valley Regional Technical Center Summer Camps 2021
Claremont SRVRTC
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Choose what camp(s) you would like to attend this summer. You may only attend one camp per week.
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**THIS CAMP IS FULL-CA
See Your Future (July 12-16)
Computers & Business (July 12-16)
**This Camp is Full-BC
**This camp is Full-R&E
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Student First Name
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Student Last Name
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Your answer
Student Street Address
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Your answer
Student City, State and Zip
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Age as of 7/1/2021
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Your answer
In fall of 2021, what grade will you be entering?
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Your answer
What School do you attend?
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Your answer
Student home phone
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Your answer
T-shirt size (adult sized shirts)
XS
S
M
L
XL
XXL
Other:
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Contact 1-First Name
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Your answer
Contact 1-Last Name
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Your answer
Contact 1-Relationship to student
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Your answer
Contact 1-Home Phone
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Your answer
Contact 1-Cell Phone
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Your answer
Contact 1-Work Phone
Your answer
Contact 1-Employer
Your answer
Contact 1-Email Address
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Your answer
Contact 1-Full Physical Address
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Your answer
Contact 2-First Name
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Your answer
Contact 2-Last Name
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Your answer
Contact 2-Relationship to student
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Your answer
Contact 2-Home Phone
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Your answer
Contact 2-Cell Phone
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Your answer
Contact 2-Work Phone
Your answer
Contact 2-Employer
Your answer
Contact 2-Email Address
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Your answer
Contact 2-Full Physical Address
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Your answer
Who does the child live with?
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Please list who is allowed to pick this student up from camp:
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