SUMMER CAMP REGISTRATION for June 23 – June 27 Camp Once we have received the registration for your child, we will send a more detailed form for your completion which will include emergency contacts, medical information etc. Student First Name* Student Last Name* Student Age* Entering Grade in Fall 2024* + ADD A STUDENT Where did you hear about Summer at Athena?* Parent Contact Information Parent First Name* Parent Last Name* Address Street Address Address Line 2 City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific ZIP Code Parent Email Contact* Enter Email Confirm Email Parent Phone Number* Summer Camp Registration* Price: If you have difficulties in completing the registration please contact Anne Boswell anne@athenaacademy.org Email This field is for validation purposes and should be left unchanged.
