Summer Camp Application for Diener Students

Email(Required)

Parent Name(Required)

First Last

Name of Camper(Required)

First Last

Age(Required)

Grade Entering Fall 25(Required)

Camper T-Shirt Size (please specify Youth or Adult)(Required)

Camper will attend the following sessions (choose all that apply)(Required)

Session1: STEM June 23-July 3

Session 2: Sports & Movement July 7-July 18

Session 3: History & Culture July 21-August 1

Non-refundable $100 payment(Required)

Online (payment link provided after form is submitted)

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