MyEventRunner - Event Public Fill

Your Information

First Name:

Last Name:

Email:

Parent Preferred Phone:

Secondary Phone:

Address 1:

Address 2:

City:

Zip/Postal Code:

Camper Name:

Camper Grade 6, 7 or 8?:

T-Shirt Size S-M-L or XLG?:

Camper Food Allergy?:

Sibling Camper Name:

Sibling Camper Grade 6-7 or 8?:

Sibling T-Shirt Size S-M-L or XLG?:

Sibling Food Allergy?:

Would you like information on our scholarship program?:

YesNo

By clicking true I authorize the use of photos from STEM Camp that may include my camper and may be used by Fidalgo Island Rotary. Such use may include newspaper, internet, PowerPoint presentations, printed material and the like:

YesNo

I consent to the collection, storage, and use of my information by Fidalgo Island Rotary Club as described in this Privacy Policy. I understand that I may receive emails regarding this event and other relevant information, and can opt out at any time. Required

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