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Thanks for your interest in our Construction Summer Camp! Please complete the form below. Applying does not guarantee acceptance and a parent must attend a mandatory meeting prior to camp, as part of the requirements. After applying, someone from our staff will contact you.

Summer Camp Application

*Parent #1 First name

*Parent #1 Last name

*Email

Phone

*Address

*Child's Full Name

*Child's Age: You must be between 13-17 during the program.

*School Child Attends

*Grade Child is currently in

*Parent 2 OR additional Adult's Full Name, Address, email and phone number.

*The Person Above's relationship to your CHILD.

*T-Shirt Size

*Area of Interest, select all that apply

Technology

Urban Agriculture

Electrical

Plumbing

HVAC A/C

Carpentry

Flooring

Arts & Crafts

All of the Above

*Why do you want to attend UCCA Summer youth program?

*Emergency Contact: Name, Phone Number, Relation, Email

*Alternate Pick Up Person: Full name, phone number, email, relation.

*Please list any food allergies or food restrictions that your child has.

*Signature: by signing this you acknowledge that meals and snacks will be provided and that I have listed any and all food allergies and restrictions for my child.

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You acknowledge that meals and snacks will be provided and that I have listed any and all food allergies and restrictions for my child.

You acknowledge that all medication will be administered at home before camp and that we do not administer medication to students while at camp.

I acknowledge that I will attend the Mandatory Parent Meeting on one of the dates as stated on the flyer in order for my child to attend the Summer Camp.

Additional Comments

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