After submittion of this form you should receive a confirmation page which includes the Field Trip/Event Permit Waiver. Please note that acceptance requires a signed and completed waiver, confirmation of payment and program staff review.
Address: City:
State: Zip: T-shirt Adult XS Adult S Adult M Adult L Adult XL Choose Size
Name of School: Grade Entering:
Please tell us why you want to attend the 5C Experience.
Please include any comments or special requests here.
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Questions should be directed to: Crystal Shannon-Cunningham at 925-3243, James Preston at 3146 or Jody Ruble at 925-3127.
Student Application print version
Waiver Print versions
