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S.C.O.R.E.
Science Camps Offer Rewarding Experiences
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S.C.O.R.E. Application Form
Student's First Name
Student's Last Name
Guardian's Name
Mailing Address
City
Region/State/Province
Postal / Zip code
Cell Phone
Email
School Student Attends
2021-2022 Grade Level
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Contact/Emergency Phone number at camp time:
Does your child have any illness, allergies or physical disabilities that the camp staff should be made aware of?
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Is your child under a doctor's care at this time?
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Is your child taking any medication?
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In case of a medical emergency, we will make every effort to contact the parents. If contact is not possible, do you give your permission to seek medical assistance?
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Please let us know of any additional information you deem necessary. Including medications or if your child is under a doctor's care.
Photo Release
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Male
Female
Check One:
Grades 1 & 2 (June 20, 21, 22)
Grades 3 & 4 (June 22, 23, 24)
Grade 5 & 6 (June 22, 23, 25)
T-Shirt Size
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small
Adult Medium
Adult Large
Adult X-Large
Would you like to be a camp volunteer?
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I understand that the staff, instructors, volunteers, and CCS Educaton Foundation are not liable for any accidents that may occur.
Submit Application & Proceed to Payment
S.C.O.R.E. Application Form
Student's First Name
Student's Last Name
Guardian's Name
Mailing Address
City
Region/State/Province
Postal / Zip code
Cell Phone
Email
School Student Attends
2021-2022 Grade Level
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Contact/Emergency Phone number at camp time:
Does your child have any illness, allergies or physical disabilities that the camp staff should be made aware of?
arrow&v
Is your child under a doctor's care at this time?
arrow&v
Is your child taking any medication?
arrow&v
In case of a medical emergency, we will make every effort to contact the parents. If contact is not possible, do you give your permission to seek medical assistance?
arrow&v
Please let us know of any additional information you deem necessary. Including medications or if your child is under a doctor's care.
Photo Release
arrow&v
Male
Female
Check One:
Grades 1 & 2 (June 20, 21, 22)
Grades 3 & 4 (June 22, 23, 24)
Grade 5 & 6 (June 22, 23, 25)
T-Shirt Size
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small
Adult Medium
Adult Large
Adult X-Large
Would you like to be a camp volunteer?
arrow&v
I understand that the staff, instructors, volunteers, and CCS Educaton Foundation are not liable for any accidents that may occur.
Submit Application & Proceed to Payment
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