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Summer Camp Student Sign Up Form
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Indicates required field
Student Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Student's Current Grade (if summer grade student will enter in Fall)
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Parent/Guardian Name
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First
Last
Relationship
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Parent/Guardian Phone Number
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Parent/Guardian Email (Please provide an email you check regularly)
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Camp Choices (please choose all that apply)
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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?
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Yes
No
Number of Weeks You Would like your child to attend:
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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)
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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
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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.)
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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.
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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.
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