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Infotonics Summer Science Camp Logo.
KIDS SAY:

Summer 2009 Registration Form

PLEASE NOTE: We are ONLY accepting additional
registrations for the weeks of
July 13th at Nazareth College OR
the week of July 27th at RCSD School No. 36
First Name
Last Name
Middle
Birth Date
Home Address
City
State
Zip
Home Phone
Gender Male
Female
Applicant's Grade Next Fall Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
School Name and Zip Code
Please give the name of your science teacher from last year
Mother's/Guardian's Last Name
Mother's/Guardian's First Name
Daytime Phone
Home Phone
Cell Phone
Pager Number
Father's/Guar dian's Last Name
Father/Guardian's First Name
Daytime Phone
Home Phone
Cell Phone
Pager Number
T-Shirt Size Youth M
Youth L
Adult M
Adult L
Adult XL
Email
Choice of Camp July 13-17 Mission to Mars at Nazareth College
July 27-31 Best of Harry Potter at Rochester School #36
Payment Method Check
PayPal
Amount Due -
Single camp rate is $250 by May 1st.
Multiple camp rate is $225 by May 1st.
 $

You can also register and pay by mail. Just fill out our registration form and mail it in with your payment.