SUMMER CAMP APPLICATION
Application Deadline is June 12, 2013
Please fill out the following form and submit and someone will contact you shortly. You
may reserve your seat in advance.
Your email address:
Your home number &
cell phone number:
Parents or Guardian
Student Grade Level
X-Sm, Sm, Med, Lg,
X-Lg, 2X, 3X
Special Needs & Requests, Foods that your child may be allergic, etc...
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*Please make your payment on our Summer Camp page for
Summer Camp Registration Fee. Make checks payable to
Math Tutors In Houston. Thank you.