Summer Camp Registration Please fill out the form completely. All camps include a camp t-shirt. Register early to avoid a late registration fee. Poms 6th-8th Grade Student's First Name * Student's Last Name * T-shirt * Youth Small Youth Meduim Youth Large Small Medium Large Street Address * Town * Zip Code * Birthday * Grade Level * K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Parent's Full Name * Home Phone Cell Phone * Parent Email * Name & Relationship of Emergency Contact Emergency Phone List Any Health Concerns If you are registering with a friend, and want to be in the same group, please list your friend’s full name if you have someone you would like to register with, please list names here.