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Summer Camp 2021: Astronaut Academy | Grades 1-8 • June 17
Parent/Guardian Name
*
First
Last
Parent/Guardian Phone
*
Parent/Guardian Email
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Camper Name
*
First
Last
Camper Age
*
Camper T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Youth Extra-Large
Adult Small
Adult Medium
Adult Large
Adult Extra-Large
Person Other than Parent/Guardian to Whom Camper May Be Released
*
If no other person please enter N/A
Phone Number of Other Person
Are you a SAC Aerospace Museum Member?
*
No, I am not a member.
Yes, I am a member.
If "yes," please enter your member number below
Would you like before-camp care for your camper, at an additional $8.00?
(B) No, thank you.
(B) Yes, I would like before-camp care.
Would you like after-camp care for your camper, at an additional $8.00?
(A) No, thank you.
(A) Yes, I would like after-camp care.
Would you like a box lunch for your camper, at an additional $7.00?
(L) No, thank you.
(L) Yes, I would like a boxed lunch for my camper.
If your camper has any allergies or medical needs, please indicate them here:
Total
$0.00
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