INSTRUCTIONS TO PRINT SCIENCE CAMP APPLICATION: Highlight this box and entire application below; Click on "File" in the upper left hand corner; Click on "Print Preview; check to assure the entire document is present in the view; Click on "Print"; when the print window appears, be sure to select the PRINT SELECTION button. Print the document. If using the newest version of Explorer, be sure to select only the application forma and then set for PRINT SELECTION only. Document will fit 8-1/2 X 11 paper.

THE FOLLOWING EMERGENCY INFORMATION MUST BE COMPLETE [Also complete and SIGN the medical authorization):

NOTIFY: _______________________________________________________ PHONE; _____________________________________
Phone Number is [   ] Home       [   ] Work     [  ] Relative   

ALTERNATE NOTIFICATION: ______________________________________________ PHONE: ____________________________
Phone Number is [   ] Home       [   ] Work     [  ] Relative 
ALLERGIES:
[  ]  Insect Sting?     [  ] Food? List: ________________________________________________________________________________

List other allergies: _____________________________________________________________________________________________

[  ] Diabetic  [  ] Other medical? List: _______________________________________________________________________________

Physical disability: ______________________________________________________________________________________________
(Note: Camp will include walking field trips requiring good sneakers and/or walking shoes. Absolutely no thongs or sandals.)