Howard Academy Community Center Summer Camp Application
Please complete all sections of this application.
Child's Name
First Name
Last Name
Date of Birth
24-25 Grade Level
Age
Sex
Parent/Guardian Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please write the name of the school where your child is attending summer camp. Please put N/A if child is not attending summer camp. Bus transportation is available from Shady Hill, Saddlewood, South Ocala and Ocala Springs.
Signature
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