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Camp Request Form
Contact Information
School or organization name:
Contact name:
Position:
Phone number:
Email address:
Camp Details
Camp week preferred:
Camp start time:
Subject(s) of interest:
Grade level(s)
Preschool
K-2
3-6
Mad Science Collects Registration
Camp Location Collects Registration
Approximate number of kids:
Additional Requests & Comments
Use the box below to give us any other pertinent information.
Comments:
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