EmailMe Form - 2023 Math Camp

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You may notify the owner and continue to submit the form.

Child's grade
This camp is only intended for incoming 5th and 6th graders.
Child's Name *
First Last
Gender *
Male
Female
Child's Birthday *
MM / DD / YYYY
Parent/Guardian #1 *
First Last
Parent/Guardian #1 Relationship to Camper *
Parent/Guardian #1 Cell *
### - ### - ####
Parent/Guardian #1 Work Phone
### - ### - ####
Parent/Guardian #1 Place of Business *
Parent/Guardian #1 Email *
Is there a second Parent/Guardian to add?
Yes
No
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