Summer Blast Registration

Lindell Study Center

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2020 Summer Blast Registration Form
A separate Registration Form and Medical Release Form must be completed for each camper. Information for up to 2 campers per family may be provided on one Registration Form.

* Indicates required field

Camper Name *

First

Last

School now attending *

Grade Entering 2020-2021 (select one) *

T-Shirt Size (please pick one) *

S M L XL

Shoe Size (for craft purposes) *

Camper 2 Name (if applicable) *

First

Last

School now attending *

Grade Entering 2020-2021 (select one) *

T-Shirt Size (please pick one) *

S M L XL

Shoe Size (for craft purposes) *

Camper(s) Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Mother's Name *

First

Last

Father's Name *

First

Last

Email address *

Please provide an active mail address for one parent

How did you find out about this activity? *

We give Lindell Study Center permission to use camp photos of our children in publicity materials such as our brochure and website. *

YES NO

select one

PARENT/GUARDIAN STATEMENT *

I verify that I am the parent/guardian of the above-named camper(s).

Checking this box will constitute your electronic signature.

Comment *

CLICK HERE to Complete Medical Release Form

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Lindell Expansion

2020 Summer Blast Registration FormA separate Registration Form and Medical Release Form must be completed for each camper. Information for up to 2 campers per family may be provided on one Registration Form.

2020 Summer Blast Registration Form
A separate Registration Form and Medical Release Form must be completed for each camper. Information for up to 2 campers per family may be provided on one Registration Form.