Summer Camp Registration

Camper's Name *
Camper's Name
Gender *
T-Shirt Size *
Is this your child's first time attending Science Mill camp? *
Will your child know other friends/classmates on the first day? *
How did you hear about Science Mill camps? *
Parent/Guardian Name *
Parent/Guardian Name
Address *
Address
Day Phone *
Day Phone
Cell Phone *
Cell Phone
Emergency Contact Day Phone *
Emergency Contact Day Phone
Emergency Contact Cell Phone *
Emergency Contact Cell Phone
My child is attending a camp in Johnson City and I am interested in FREE transportation from: *
Payment *