Sparkle Spot Learning RegistrationChoose from the drop down menu below*Choose a Camp or ClassReading: July 6-10, 2020Math: July 13-17, 2020Sparkle Kids: July 20-24, 2020Writing: July 27-31, 2020Study Skills: August 10-14, 2020Literacy Review: August 17-21, 2020Child InformationChild's Name* First Last Birthday* MM DD YYYYGrade (Fall 2020)*School*AllergiesPhoto Release Please DO NOT use my child's photo on social mediaWe often take photos during our classes and camps. Photos may be used for camp slide shows, occasionally on the Sparkle Spot website, in printed marketing, or for social media purposes. Please check if you would like your child not to appear in Sparkle Spot Learning photos.Parent InformationParent or Guardian Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Emergency Contact* First Last Emergency Contact Phone*How did you hear about Sparkle Spot Learning Camps?Learning GoalsCommentsEmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
