Brawerman Summer Camp Registration - Incoming Grades 1-6

GLAZER CAMPUS

BLAZE CAMP: JUNE 12 - JUNE 30, 2023

BRAWERMAN CAMP: JULY 5 - JULY 21, 2023

INCOMING GRADES 1-6 (Current Grades K-5)

Parent 1 Last Namerequired

Parent 1 First Namerequired

Parent 1 Emailrequired

Parent 1 Cell Phonerequired

Parent 2 Last Name

Parent 2 First Name

Parent 1 Email

Parent 1 Cell Phone

Student 1

Student Name (East)required

Current Grades K-5

Select Current Graderequired

Current Grades K-5

My child's name is not in the list above

Student First Name

Student Last Name

T-shirt Sizerequired

BLAZE CAMP - Weeks 1-3

WEEK 1 ($500)

June 12-16

WEEK 2 ($400)

no camp on June 19

June 20-23

WEEK 3 ($500)

June 26-30

BRAWERMAN JULY CAMP - Weeks 4-6

Please note we need 20 campers signed up for Brawerman Camp Weeks 4-6 by Sunday, March 26, 2023, in order to run this camp.

*If the minimum number of students is not enrolled a refund will be issued

WEEK 4 ($300)

No Camp on July 3 & 4

July 5-7

WEEK 5 ($500)

July 10-14

WEEK 6 ($500)

July 17-21

Add another student?*

Yes No

Student 2

Student Name (East)required

Current Grades K-5

Select Current Graderequired

Current Grades K-5

My child's name is not in the list above

Student First Name

Student Last Name

T-shirt Sizerequired

BLAZE CAMP - Weeks 1-3

WEEK 1 ($500)

June 12-16

WEEK 2 ($400)

no camp on June 19

June 20-23

WEEK 3 ($500)

June 26-30

BRAWERMAN JULY CAMP - Weeks 4-6

Please note we need 20 campers signed up for Brawerman Camp Weeks 4-6 by Sunday, March 26, 2023, in order to run this camp.

*If the minimum number of students is not enrolled a refund will be issued

WEEK 4 ($300)

No Camp on July 3 & 4

July 5-7

WEEK 5 ($500)

July 10-14

WEEK 6 ($500)

July 17-21

Add another student?*

Yes No

Student 3

Student Name (East)required

Current Grades K-5

Select Current Graderequired

Current Grades K-5

My child's name is not in the list above

Student First Name

Student Last Name

T-shirt Sizerequired

BLAZE CAMP - Weeks 1-3

WEEK 1 ($500)

June 12-16

WEEK 2 ($400)

no camp on June 19

June 20-23

WEEK 3 ($500)

June 26-30

BRAWERMAN JULY CAMP - Weeks 4-6

Please note we need 20 campers signed up for Brawerman Camp Weeks 4-6 by Sunday, March 26, 2023, in order to run this camp.

*If the minimum number of students is not enrolled a refund will be issued

WEEK 4 ($300)

No Camp on July 3 & 4

July 5-7

WEEK 5 ($500)

July 10-14

WEEK 6 ($500)

July 17-21

I understand that Blaze Camp is non-refundable and non-transferable*

I agree

Total Costrequired

(non-refundable, non-transferable)