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HSM Summer Camp Registration
2017
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* Indicates required question
Last year's camp :)
Student First Name
*
Your answer
Student Last Name
*
Your answer
Gender
*
Male
Female
Grade in School (for Fall 2017)
*
9th
10th
11th
12th
Student Email Address
*
Your answer
Student Cell Phone
*
Your answer
Brought by (friend who invited you)
Your answer
Medication/Allergies
*
None
Other:
Parent/Guardian
*
Your answer
Parent/Guardian Email Address
*
Your answer
Parent/Guardian Cell Phone
*
Your answer
Parent/Guardian Home Phone
*
Your answer
Emergency Contact Name & Phone Number
*
Your answer
Payment Method
*
I would like to use my silent auction money. This option only available if you sign up prior to May 29th. This registration confirms a non-refundable deposit from your silent auction account.
Cash or Check to the front office. A non-refundable $50 deposit by holds your spot, first come first serve.
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