Summer Programs Information Request

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