Camper Forms - Star Academy

Camper's Name*
First Last
Camper's Age*
Camper's T-Shirt Size*
Camper's Robotics Experience*
Pizza Lunch?
- Yes, I would like a pizza lunch to be provided (+$10/d)
Parent / Guardian Information*
First Last
Relationship*
Email*
Primary Phone*
Secondary Phone
Emergency Contact*
- Make me the Emergency Contact
- Add an Emergency Contact
In case of emergency involving my child, I understand every effort will be made to contact me/us.
Parent / Guardian Information
First Last
Primary Phone
Relationship
Email
Secondary Phone
Wavier Agreement*
- I have downloaded, read, completely understood, and agree to the Camp Release & Waiver.
Medical Agreement*
- I agree that If my child needs medication administered to him/her (including self-administration), I will complete and submit the Medical Administration Authorization Form by the first day of camp.
Pizza Lunch Fee*
- I agree that If I have asked for a pizza lunch to be provided, A $10 charge will be assessed from me at the door for each day of camp. If you did not check pizza lunch, no fee will be assessed
Type your Full Name*
By typing your name in this field you are agreeing that it will be used as an approval or signature and that all of the entered information is correct.
Today's Date*
Date Format: MM slash DD slash YYYY
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2032 Greenspring Drive Timonium, MD 21093
443-330-7780
info@STAR-Academy.com
Mon-Wed 3:00pm – 8:30pm Thursdays By Appointment Fridays 3:00pm – 8:30pm Saturdays 10:00am – 3:00pm Sundays By Appointment