Level Up: Summer Learning Camp
Registration Form
Parent/Guardian Information
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Camper's Name
*
First Name
Last Name
2022-2023 Grade Level
*
Please Select
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Register Here
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Early Bird Registration
$
50.00
Pay with Credit Card
Submit
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