| Parent 1's First Name* |
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| Parent 1's Last Name* |
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| Parent 2's First Name* |
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| Parent 2's Last Name* |
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| Email Address* |
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| Participant's First Name* |
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| Participant's Last Name* |
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| Participant's email |
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| Contact phone number* |
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| Address* |
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| City* |
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| Participant's Gender* |
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| Grade (as of 09/08)* |
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| Date of Birth (mm/dd/yy)* |
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| Parent's email* |
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| State |
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| Zip Code* |
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| Country* |
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| Do you have any questions? |
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| How did you hear about our programs? |
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| Please indicate what brochures you would like. You may check as many as you want. |
| General Summer Programs |
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| Robotropolis Robotics Camp for Girls |
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| Robotropolis Robotics Camp for Boys |
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| Mercersburg Adventure Camp |
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| Teen Adventures |
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| Junior Adventure Camp |
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| On Stage Young Actors Theatre Workshop |
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| Mercersburg Summer Theatre Workshop |
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| Young Writers Camp |
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| Blue Storm Basketball Camp |
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| Storm Wrestling Camp |
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| Storm Junior Wrestling Camp |
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| ESL+ Senior Program |
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| ESL+ Junior Program |
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