Venture On Courage Camp Registration Form 2025

Venture On - Courage Camp Registration

For current Venture Academy students only
Student Information
Student's Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade for 2025/2026*
T-Shirt Size (Supply is limited so actual size may vary)
#1 Grade 3-5 (4 day workshop) June 30th - July 3rd, 2025 8:00am - 12:30 pm#2 Grade 6-8 (3 day workshop) July 16th - July 18th, 2025 8:00am - 2:30 pm
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name*

First NameLast Name
Home Number*
Format: (000) 000-0000.
Cell Number
Format: (000) 000-0000.
E-mail*
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.
Should be Empty:

Venture On - Courage Camp Registration