Manhood 101 Mentoring STEAM Camp Registration Form - Alice Ferguson Foundation

2024 Boyz Manhood101 Camp Registration

2024 Manhood 101, District 9 & AFF Boyz Summer STEM and Adventure Camp Registration

Parent/Guardian Information

Primary Parent Name

Primary Parent Name

First

First

Last

Last

Primary Parent Email *

Primary Parent Phone *

Home Address *

Home Address

Home Address

Home Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country

Country

Secondary Contact

Secondary Contact Name

Secondary Contact Name

First

First

Last

Last

Secondary Phone Number *

Secondary Email Address

Include if secondary contact would like to be notified in routine communications.

If you are human, leave this field blank.