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Summer Camp 2018 Registration

Register for Summer Science Camp 2018

Please use this form to register for Summer Science Camp 2018. Please fill out a separate form for each camper.

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Please enter the name of the child who will be attending camp.
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Please enter the age the camper will be on the first day of camp.
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Please enter the first and last names of one of the camper's parents/guardians.
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Please enter the parent/guardian's primary phone number.
Please enter the parent/guardian's secondary phone number.
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Please enter the camper's street address.
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Please enter the camper's city.
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Please enter the camper's state.
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Please enter the camper's zip or postal code.
Please enter the name of an additional parent/guardian.
Please enter the additional parent/guardian's primary phone number.
Please enter the additional parent/guardian's secondary phone number.
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Please enter the name of an emergency contact, not a parent or guardian.
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Please enter a phone number for the emergency contact.
What is the emergency contact's relationship to the camper?
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Please select a t-shirt size for the camper.
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Are you an Explorit member?


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Does the camper have any respiratory problems? If yes, please explain.
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Does the camper have any allergies? if yes, please list them.
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Does the camper have any dietary restrictions? If yes, please list them.
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Is the camper currently taking any medications? If yes, please explain.
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Please note any other special needs or instructions that will help Explorit best meet the camper's needs this summer.
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I give consent to Explorit to photograph the camper and use the pictures in scrapbooks and/or other promotional material.


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Please select all camps for which this camper would like to register. Please note the location and age range of each camp selection. You will be charged for each camp selected.
 
 

Thank you for registering for Summer Science Camp 2018. Your card will be charged for the camps selected. You will receive a confirmation email from Explorit with details of your camper's schedule and Explorit's camp policies.

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