Pioneer Apprentice Camp waiting list

If adding more than one camper to the waiting list, please fill out a separate 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