ST. PIUS X

TUCSON, ARIZONA

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Media Ministry Camp 2 Online Registraiton

- MEDIA

Welcome to the online registration for the Media Ministry Camp 2, the Intermediate Level Camp. Please fill out all information listed.
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- Date REQUIRED Please fill out this field. Please enter a date.
- PARTICIAPANT INFORMATION
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Participant's Age Please enter valid data.
- Grade in School REQUIRED Please fill out this field.
- School Attending (if applicable) Please enter valid data.
- Which subject matter do you want to grow in? REQUIRED Please fill out this field.
- PARENT OR ADULT INFORMATION
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- PRELIMINARY PARENTAL OR ADULT PERMISSION
  By pressing "I Agree", I attest that I am the parent or legal guardian of my child registering. I am giving them permission to attend the Media MInistry Level 2 Camp 2024. I also give my child permission to have photos take of them and be in front of the camera for the camp project and for promotional us with St. Pius X Catholic Community. A more detailed hardcopy permission form and waiver will be required before the camp begins.
  I Agree Please select this field.
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