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MJAC Summer Camp Application

  1. (Must provide proof of residency: a utility bill, an official letter or statement, lease, etc.)

  2. (Child's birth certificate required)

  3. (Must provide copy of child's latest report card for 2018)

  4. Summer Camp Dates:

    Please check the weeks your child will be attending summer camp

  5. Career Choice: (Choose Only One)

    Please select the box that represents your preferred career path.

  6. Including yourself, how many people are members of your household family unit? (Must provide proof of income)

  7. Leave This Blank:

  8. This field is not part of the form submission.