Registration Academic Camp Registration Camp Registration Form Student Information Student First Name * Student Last Name * Age * Date of Birth * Current Grade Level * Current School * Gender * Male Female T-shirt Size * Does your child have any allergies, chronic illness, or medical conditions? If yes, please describe: Please describe your child's strengths and weaknesses in Reading: Please describe your child's strengths and weaknesses in Writing: Please describe your child's strengths and weaknesses in Math: Please describe anything else you'd like to share about your child's educational progress: Next