Pioneer Apprentice Camp Registration Form

If registering more than one camper, please fill out a separate registration form for each child. Thank you!

Apprentice's Name

First Name

Last Name

Apprentice's Age

Grade Level (Upcoming School Year)

Apprentice's Gender

Boy

Girl

Parent or Guardian

First Name

Last Name

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell or Daytime Phone

(###)

###

####

Email Address

Museum Family Rate Member?

Yes

Additional Information