BASD Summer Camp Registration 2022
Please complete this registration form for all camps that your child plans to attend. If you have more than one child who plans to attend a summer camp, please fill out a form for each child. Once this form is completed and submitted, we will notify you if there are enough attendees for the camp to run this summer. Once it is determined that the camp will run, you will receive an email to submit an online payment. All registrations are due by Sunday, May 1st.  
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Student First Name, Last Name *
Parent/Guardian First Name, Last Name *
Address *
Parent Cell Phone # *
Parent Work Phone # *
Parent Email Address (Please provide so we can send you the camp confirmation and payment link.) *
Summer Camp & Week of Participation in the Camp *
Required
School & Grade in 2020-2021 School Year *
Emergency Contact Information (Name, Phone #, Relationship to the Student) *
Additional Information (Please list any medical conditions or allergies) *
Publicity Information: I allow photographs to be taken of my child during camp activities. *
Parental Consent: I am familiar with the rules and regulations of the Boyertown Area School District Summer Camp Program and hereby approve this registration. *
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