Summer Business Camp Registration Form

*Name (required)

*Email (required)

*Home Address (required)

*Town (required): *State (required): *Zip Code (required):

*Name of Parent or Guardian(required)

*Contact Number(required)

*Signature of Parent or Guardian(required)
Clicking here qualifies as a Parent/Guardian signature

*School (required)

*School Address (required)

*Town (required): *State (required): *Zip Code (required):

*Name/Title of Faculty Representative (required)

*Year in School (required): *Age (required): *Gender (required): *T-Shirt Size (required):

*Food Allergies (required)

*Student Cell Phone Number (required)

We do use texting to contact students during camp

*Local Newspaper (required)
Editor's Email (optional):

*Other pertinent information (required)

I (we) understand that by submitting this agreement I (we) authorize the use of my child's/ward's photograph in Foundation related publications and its website

*Clicking here qualifies as the Student's Signature (required)

For more information please contact Kathryn English at 201.657.3730 or email

*In order to prevent spam please enter the code you see above:

Button will become clickable once all required checkboxes and fields are entered.