Name: Hands and Feet Camp
Start: 2024-07-23T09:00:00-04:00
End: 2024-07-25T16:00:00-04:00

Student First Name

Student Last Name

Parent/Guardian First Name

Parent/Guardian Last Name

Phone

Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

Food Allergies

Current Grade

Birth Date

Age

Gender

T-shirt Size

If you need financial assistance, Stacey Shafer will follow up with you regarding the request.

Hands and Feet Camp