Sprout Camp Interest Form

Sprout Camp Interest Form

Sprout Camp is currently on a wait-list but we expect to be able to open up more spots. Please select the camp weeks and add-ons you are interested in and we will let you know our availability. Please email Angela McLean, at community@milehicec.org, with any questions.
Student's Name

First NameLast Name
Student's Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Guardian Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please select your preferred weeks and schedules below. Please select all that apply.
Full Six Weeks- June 15-July 24th
Sprout Camp Week 1: June 15th-June 18
Sprout Camp Week 2: June 22nd-June 26
Sprout Camp Week 3: June 29-July 2nd
Sprout Camp Week 4: July 6th-July 10th
Sprout Camp Week 5: July 13th-July 17th
Sprout Camp Week 6: July 20th-July 24th
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Please select your preferred weeks and schedules below. Please select all that apply.