Fundamentals Day Camp Registration Fundamentals Day Camp Registration Form "*" indicates required fields 1Select Camp2Registration3Guardian4Emergency Info5Payment LinkedInThis field is for validation purposes and should be left unchanged.I am registering for:*Camp 1 – June 10 – 13Camp 2 – July 8 – 11Days attending:*All four days – $250I can only make a few days – $70 per dayI can attend these days:* Monday – $70 Tuesday – $70 Wednesday – $70 Thursday – $70 Total Price Price: $0.00 How did you learn about the camp?* CAMPER INFORMATIONPlease complete the following information about the camper you are registering.Name* First Last Grade*Please enter a number from 0 to 12.Date of Birth* MM slash DD slash YYYY T-Shirt Size*Youth SmallYouth MediumYouth LargeYouth XLSmallMediumLargeXL PARENT/GUARDIAN INFORMATIONPlease complete the following information about the parent/guardian of the camper you are registering.Name* First Last Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code EMERGENCY CONTACT INFORMATIONWho should we contact in the event of an emergency?Name* First Last Phone*LIABILITY RELEASE AND WAIVER/ PARENTAL CONSENT FORM & MEDICAL RELEASE* Do you accept the above terms? Total Credit Card*Card Details Cardholder Name
