Summer Camp Registration Parent/Guardian Information Email * Name * First Last Name * Last Phone How did you hear about us? * Student Information Name * Last * Student Age * Name of School Gender * Allergies? * Yes No Please briefly describe allergies: Does your child require any special accomodations? * Yes No How can we best accomodate your child’s learning differences, emotional/social needs, etc.? If your student is attending with friends/siblings and would like to be in the same project group, let us know their name(s): Emergency Contact Name First Last Name * Last Phone Number If you are human, leave this field blank. Submit