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AFSC Summer Day Camps 2018 Registration Form

Thank you for choosing Akron Fossils & Science Center's Summer Camps! We're going to have a GREAT time learning and exploring this summer!

Please fill out the form below in full to register your child. An initial non-refundable $50 payment for each child is required at the time of registration. Payment plans are available for the remaining sum.

After completing this form, you will be prompted to follow a link to pay your $50 deposit and complete your registration. You MUST pay your deposit or make your payment in full or your child will NOT be registered.

Thank you!

 

Camper Information
Camper's Name(s) and Age(s)
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Address
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Phone --
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Parent(s) or Guardian(s)
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Email
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Emergency Contact
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Please provide the name and phone number of your emergency contact.
Special Care Information
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Please list any allergies, special needs, limitations, or other instructions that we should be aware of in order to provide the best possible care for your child.
Camp Sessions
Camp Sessions
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Please check all of the camps in which your child(ren) will be participating
Number of Full-Day Sessions
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This number includes multiple campers. For example, if you have 2 children registering for a full day of Space Camp, you would enter "2". Similarly, if you have 1 child registering for a full-day session of Space Camp and a full-day session of C.S.I. Camp, you would also enter "2".
Number of Morning Sessions
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This number includes multiple campers. For example, if you have 2 children registering for a morning session of Space Camp, you would enter "2". Similarly, if you have 1 child registering for a morning session of Space Camp and a morning session of C.S.I. Camp, you would also enter "2".
Number of Afternoon Sessions
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This number includes multiple campers. For example, if you have 2 children registering for an afternoon session of Space Camp, you would enter "2". Similarly, if you have 1 child registering for an afternoon session of Space Camp and an afternoon session of C.S.I. Camp, you would also enter "2".
Payment
Payment Method
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Parent/Guardian Signature
Text (Multiple Lines)
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I, the undersigned parent/guardian of this minor child, give permission for this child to participate in one of more of Akron Fossils & Science Center's (AFSC) Summer Camps. I give permission for my child's picture to be taken to be used on AFSC's website and/or publications. I hereby give permission for the adult bearer of this document to create a copy thereof to give consent for emergency medical treatment of my child by a licensed physician.
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