What Makes Us Different
Summer Camp Registration
2018 Summer Camp registration is currently open!! Complete one form per student
Student Shirt Size
Please enter the Sessions your registering for. (Numeric 1,2,3 or enter "All" for all sessions)
Is student currently enrolled at Impact?
Is the student currently taking any medication? If so, please list below
Does any medication need to be dispersed to the student during the day
Does the student have any allergies? If so, please list below
Who is your childs insurance carrier?
Mother Work Phone
Father Work Phone
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