Summer Camp

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Student Information

* Indicates required field

Student Name *

First

Last

Student's Age on June 20, 2023 *

Student Voice Part *

Does your household have other campers attending? *

Unisex T-shirt Size *

What are the names of the other camper(s) from this household? *

Parent/Guardian Information

Parent #1 Name *

First

Last

Parent #2 Name *

First

Last

Parent #1 Phone *

Parent #2 Phone *

Parent #1 Email *

Parent #2 Email *

Emergency Contact Name *

First

Last

Emergency Phone *

School Information

Student's school as of August, 2023 *

STudent's grade as of August, 2023? *

If your student attends school outside of Franklin Township, which school do they attend? *

Permission & Release

I hereby give my child permission to take part in the Franklin Central Summer Show Choir Camp. I have adequate hospitalization insurance to cover any injuries that might occur. I realize that Franklin Central Summer Show Choir Camp will not be responsible for any accidents or injuries involving any performer during the camp.

I have read and agree to the permission and release statement above. *

I agree

Parent/Guardian's Name *

Today's Date *

Registration is not complete until payment is received.

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Student Information

Parent/Guardian Information

School Information

Permission & Release

Location

Contact Information

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