Student Summer Camp Registration
Centrifuge Camp in Panama City Beach, FL - June 20-24
Student Name
*
First Name
Last Name
Student Phone Number
Please enter a valid phone number.
Student's Grade
*
Please Select
6
7
8
9
10
11
12
Student T-Shirt Size (Adult Sizes)
*
Please Select
Small
Medium
Large
XL
XXL
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
Second Student Name
First Name
Last Name
Second Student Phone
Please enter a valid phone number.
Student's Grade
Please Select
6
7
8
9
10
11
12
Second Student T-Shirt Size (Adult Sizes)
Please Select
Small
Medium
Large
XL
XXL
Allergies for each Student
Medication for each Student
Preferred Roommates
Any Other Notes for Us?
My Products
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Summer Camp Deposit
$
50.00
Quantity
0
1
2
Summer Camp Full Payment
$
350.00
Quantity
0
1
2
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