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CampXtreme 2013 Registration Form
An adventure for kids who have completed 2nd-5th grades this 2012-2013 school year.
Camp Xtreme will be held June 24th-28th 8:30am- 12:00pm at Jenkins Middle School. THIS CAMP IS FREE!
Child's Name
*
Date of Birth
*
Parent's Name
*
Phone
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Grade Last Completed
*
School Last Attended
EMERGENCY Contact
*
Emergency Contact Phone
###
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Email
Track Selection
Indoor Sports
Cooking
Sign Language
Babysitting
Jr. Engineering
Secret Service
Drumline
Creation Station
Cheerleading
Sewing Basics
Your child will be attending ONE track time during this camp. Please choose two of the above. We will do our best to see that your child gets one of their chosen track times. If for some reason these tracks fill up and we are unable to place your child into the track of their choice, we will call you for an alternative track time selection. Babysitting is for Fourth and fifth graders only.
First Choice
Please enter which track time your child would prefer.
T-Shirt Size
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Adult XL
NOTE: This camp is designed for students who have completed 2nd-5th grade. It is very important that you complete every question on this form. If you have any questions please contact Polly McCallum at First Baptist Church, Palatka at (386)328-1531.
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