Strength and Respect Summer Camp 2007

NUCUP

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Leadership Academy Summer Day Camp 2010 Registration

Fill out and submit this electronic form to register online or print this page and mail it in to us. Get our mailing address here.

Register Now! Camp is held Monday through Friday

from 9:00 a.m. to 4:00 p.m. at

4626 Washington Road, College Park, GA 30349

Children ages 5-14 are welcome

Fees: $50 non-refundable registration fee. $85 per week per child. Special early or late pickup is available. All registration fees must be paid in advance. Payments can be made by cash or money order only. Limited space is available so act now!

N.U.C.U.P. Leadership Academy Summer Day Camp Camper Information

Today's Date:

Full Name:

Address:

Age:

Phone:

Cell Phone:

Emergency Contact:

Relationship to Student:

Name of Insurance Provider:

Provide any medical conditions or medicine required for the student:

Agreement*: I understand that slots are filled on a first-come, first-served basis. A complete application and full payment of fees are required before a child can be enrolled in the camp. I further understand that my child will be removed from the camp if there are any disciplinary disputes. Please talk with your child about appropriate behavior. There are no refunds.

*Pressing Submit indicates your understanding of and compliance with the above-mentioned agreement.

"It's easier to build a child than to repair an adult"