School Break Camps

Fall Break Camp is October 10-14, 2016 from 11 AM – 5 PM at Southside Middle School. The $5 registration fee includes field trips, lunches, snacks and a t-shirt.

Student's Name *
Student's Name
Second Student
Second Student
Third Student
Third Student
Fourth Student
Fourth Student
Guardian's Name *
Guardian's Name
Primary Phone Number *
Primary Phone Number
Secondary Phone Number
Secondary Phone Number
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone