Registration Form for RHS Science Camp:

Name: ________________________________________

Grade: ______ School: ______________________

Shirt Size (Circle One):

Youth: M L Adult: S M L XL

Address: ___________________________

____________________________________

____________________________________

Phone #: ___________________________

Emergency Phone #: ________________

Parent/Guardian Names: ____________

_____________________________________

Food Allergies: _____________________

Please mail to:

Jodi Butler

Reidland High School

5349 Benton Road

Paducah, KY 42003