SAAC Camp - Summer Enrichment Program for Children

Camper First Name:
Camper Last Name:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Date of Birth:
Grade:
School:
Parent's First Name:
Parent's Last Name:
Home Phone:
Work Phone:
Email Address:
Instrument:
Session Week 1 - 7/6 thru 7/10:
Session Week 2 - 7/13 thru 7/17:
Session Week 3 - 7/20 thru 7/24:
Session Week 4 - 7/27 thru 7/31:
Session Week 5 - 8/3 thru 8/7:
Session Week 6 - 8/10 thru 8/14: