AHT Summer Camp Registration

AHT Summer Camp Registration Form
Child Name and Gender First Last Gender
Date of Birth and Grade / MM / DD YYYY Grade as of 1/1/2011
Address
Street Address

Address Line 2

City

Postal / Zip Code
Home Phone format (###-###-####)
Parent Name First Last
Parent Contact and Email
Contact Phone format (###-###-####)

Parent Email
Other Parent Name First Last
Other Parent Contact and Email
OtherParent Phone (###-###-####)

Other Parent Email
Emergency Contact First Last Emergency Phone (###-###-####)

Track Preference Track AMR ( Monthly course Arts, Math and Robotics) Track MSC ( Monthly course comprising of MS Office, Science and Chess Track AMR - B (Two week beginner course) Track MSC - B (Two Week Beginner course) Track GR (Four week Geometry and Robotics Course) Track GW (Four week Geometry and Web Design Course) Track SC_K (Four week Day Care for PRE K kids)
I want to Volunteer for AHT Summer Camp Volunteer teacher 8 weeks Volunteer Teacher 4 weeks Science and Maths Teacher Robotics Teacher Web Design Teacher Chess Teacher Administration
Comments / Questions/ Special Needs