EmailMe Form - 2015 Camp COCONUTS 1.0

Camper Name
First Last
Camper Nickname
Gender
Age as of August 2015
Grade Level as of August 2015
School
Has your student ever participated in FIRST Lego League?
If yes, list team name & school
T-shirt Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult XLarge
Camp Session
Morning (8am - Noon)
Afternoon (1pm - 5pm)
Address
Parent/Guardian Name
First Last
Parent/Guardian Email
Parent/Guardian Phone Number
### - ### - ####
Does your camper have any medical concerns or allergies we need to be aware of?
Is there any thing else you would like us to know?

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