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2014-2015 Track out camp Registration

* Indicates required field

Student Name *

First

Last

Birthdate *

Gender *

Male Female

Current School Name *

Grade in Fall 2014 *

Father's Name *

First

Last

Father's Email *

Father's Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Mother's Name *

First

Last

Mother's Email *

Mother's Phone Number *

Track Out Art Camp *

Track 1 Art Camp Track 2 Art Camp Track 3 Art Camp Track 4 Art Camp

Art/Chinese Track out Camp *

Track 4 Chinese/Art Track out Camp

Tuition / Fees *

$185/Week $3/Lunch Bring Own Lunch $40/day (If register daily)

Day Camp Tuition *

$40/day $3/Lunch Bring Own Lunch

Medical Information *

Comments or Questions *

Submit

2014-2015_trackout_registration_form_20150105.pdf
File Size:	612 kb
File Type:	pdf

Download File

Once you submit this form a copy of this application will be sent to our staff who will review it. If you are approved and there is space for your child, you will be invoiced. This process may take 2-3 business days. If you have not heard back after this time period, please contact Office@cier-edu.com

CHAMPION EDUCATION

LOCATION

QUICKLINKS

106 Pheasant Wood Court
Morrisville, NC 27560
919.388.1739
office@champion-education.com

After School
Art
Summer Camp. Track Out Camp. Day Camp
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2014-2015 Track out camp Registration

LOCATION

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