Summer Academy Attendee Registration Form

MIDDLE SCHOOL CAMP - Rising 6th, 7th, and 8th Graders (Troy Location)
Week 1 - July 8-12, 2024, 9am to 3pm

* Denotes Required Field

Please select a camp: *

Futuristic Farming–Students will be introduced to Aquaponics - growing fish and fresh vegetables in a sustainable way, where they will care for live fish and plants. They will weigh and feed fish in a large aquaponic system. They will plant seeds and harvest foods they can take home with them. They will also discover some futuristic ways that farmers are growing more food with less using drones and automation. (4 remaining)

First Name *

Last Name *

Gender *

Male

Female

Ethnicity *

Date of Birth * +

Allergies/Disabilities. Does your child have a disability or impairment that requires accommodations or modifications in the design of the physical, curricular or social environment, i.e. access ramps, adjustable seating or interpreters?

School & school district *

Grade student is entering Fall 2024 *

T-Shirt Size *

Parent/guardian first name *

Parent/guardian last name *

Email Address *

Address *

City *

State *

Zip *

Primary Phone *

Secondary Phone *

Emergency contact first name *

Emergency contact last name *

Emergency contact primary phone *

Emergency contact secondary phone

Authorized to pick up #1 (other than self) full name

Authorized to pick up #1 phone number

Authorized to pick up #1 relationship to child

Authorized to pick up #2 (other than self) full name

Authorized to pick up #2 phone number

Authorized to pick up #2 relationship to child

Authorized to pick up #3 full name

Authorized to pick up #3 phone number

Authorized to pick up #3 relationship to child

Other authorized pick up

Assumption of Risk Form
I have read and agree to the Assumption of Risk Form (link to pdf above) *

Yes

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