Bringing Home the Gold

FINANCIALLY FIT FOR LIFE

July 28-August 1, 2008

REGISTRATION FORM

 

Student Name

Student Address/City/State/Zip            

Home Phone                                        Area Code   Phone 

Date of Birth (mm/dd/yr) 

Sex male  female

School     School District    Grade in Fall 2007

Mother's/Guardian's Name

Father's/Guardian's Name  

Parent/Guardian Address/City/State/Zip 

Parent/Guardian  Phone                           Area Code   Phone 

Parent E-mail                      

What size T-shirt does your child wear?

Does your child require any special medication or staff attention?

no  yes

Because of any physical handicap or health condition, must your child limit his/her activities during this camp?  If yes, please explain.

no  yes

Emergency contact (list name and phone numbers)

 

Thank You

If you would like additional information, please contact the NKU Center for Economic Education at 859-572-6581 or send an email to Nancy Lang at lang@nku.edu