REGISTRATION from BLOG
Child’s Name:___________________ Birth date:________ Age:_______
T-shirt Size: Youth S M L or Adult S M or L
Guardian/ Parent Name:_____________________________________
Home phone number:__________
Cell phone number:________________
Address:_________________________
City______ State:_____ Zip Code:______
So we can make sure we best fill the needs of your child, please describe any special accommodations your child will need: _________________________________________________________
_________________________________________________________
We are interested in a scholarship : Yes___ No ____(there are 10 available)
__Yes ___No I give permission for my child to have his/ her picture in any camp related article, internet, video, television program to promote this program.
*Discounts available for siblings. Please inquire if interested.
Please make checks out to Seton, in memo writing SPICE
Please mail registration with check by no later than Friday, June 1st to:
Anna Brannen,
3277 Hunting Hills Drive,
Lexington, KY 40515
annaharkenbrannen@gmail.com/ 1-402-203-5603
We will send out a letter confirming your child’s enrollment in the camp.
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