Sign Up Form Summer Camps

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Summer Camp Student Sign Up Form

* Indicates required field

Student Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Student's Current Grade (if summer grade student will enter in Fall) *

Parent/Guardian Name *

First

Last

Relationship *

Parent/Guardian Phone Number *

Parent/Guardian Email (Please provide an email you check regularly) *

Camp Choices (please choose all that apply) *

Kindergarten Academic Readiness Camp First Grade Academic Readiness Camp Second Grade Academic Readiness Camp Third Grade Academic Readiness Camp Fourth Grade Academic Readiness Camp Fifth Grade Academic Readiness Camp Sixth Grade Academic Readiness Camp Seventh Grade Academic Readiness Camp Eighth Grade Academic Readiness Camp Technology Readiness Camp Achieve Typing! Camp CSI Math Camp - Elementary CSI Math Camp - Pre-Algebra (Middle School) CSI Math Camp - Algebra CSI Math Camp - Geometry CSI Math Camp - Algebra 2 - PreCalculus

Is it ok to text this number? *

Yes No

Number of Weeks You Would like your child to attend: *

1 Week 2 Weeks 3 Weeks 4 Weeks 5 Weeks 6 Weeks 7 Weeks 8 Weeks

Time of Day (choose all that you are interested in or apply) *

Half Day Morning 8:00 a.m. - 12:00 p.m. Half Day Afternoon 12:00 p.m. - 4:00 p.m. Full Day 8:00 a.m. - 4:00 p.m. (only available for Readiness Camps for Grades 3-8) Achieve Typing! Only 8:00 a.m.-10:00 a.m. Achieve Typing! Only 10:00 a.m.-12:00 p.m. Achieve Typing! Only 12:00 p.m.-2:00 p.m. Achieve Typing! Only 2:00 p.m.-4:00 p.m.

T-Shirt Size *

Youth Small Youth Medium Youth Large Youth Extra Large Adult Small Adult Medium Adult Large Adult Extra Large

T-Shirt Color (T-Shirt Designs and Colors can be viewed on our Store Page.) *

Black Coral Silk Daisy (Yellow) Dark Heather Heliconia (Pink) Irish Green Light Blue Orange Purple Red Royal Blue Sport Grey

Please add additional Information Here if necessary. *

By typing my name below, I acknowledge that I am beginning the sign up process for services at Achieve. I agree to be contacted by Achieve to continue the registration process before sessions begin. *

Submit

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