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You may email this registration form to castmail@embarqmail.com . Just copy/paste it into an email. Or you may print it out and mail it or drop it by CAST. Details are at bottom of the page.
CAST Registration Form (Please print clearly and fill out one form per student)
Camp Name:__________________________________________________________
Student’s Name: _______________________________________________________
Age: ____________ Date of Birth:____________________ M/F: ____________
Parent’s Name(s): ______________________________________________________
Address: ______________________________________________________________
City: ______________________________ State: _________ Zip: _____________
Student's Email: _______________________________________________________
Parent’s Email: _________________________________________________________
Home Phone: _____________________________ Work: _______________________
Cell: ____________________________
Does your child have any medical conditions we need to know about?
Yes _____ No _____ Explain: ______________________________________________
Emergency Contact(s): ___________________________________________________
Relationship to the Student: _______________________________________________
Phone Numbers: (H)_______________________(Other)_________________________
If in the event of an emergency, we cannot contact you or the emergency contact, do we have permission to call 911 or seek immediate medical attention?
Yes _____ No _____
Signature: ____________________________________________________________
CAST is not set up to accept credit or debit cards at this time. We hope to be soon. We do accept cash or checks. Please make checks payable to CAST. Payment is due the first day of class. 10% Discount if payment received by June 2, 2008. You may mail payment to CAST, PO Box 116, Hickory, NC 28603 or drop it by CAST Tuesday -Thursday, 11:00am – 5:30pm. If coming by in person, please phone, 328-CAST, first to be sure someone is available. Alternate Payment Plans, Sibling Discounts and Limited Scholarships are available. Please ask for more information.