Cumberland County High School Financial Empowerment Boot Camp Registration Form

Student First Name *

Student Last Name *

High School Name *

Grade Level *

9th

10th

11th

12th

Student Age *

Student Phone Number *

Emergency Contact Name/Guardian Name *

Parent/Guardian Email Address *

Emergency Contact/Guardian Phone # *

Any Dietary Restrictions or Special Needs? *

Will your student require transportation to be picked up or dropped off during the duration of the Boot Camp? *

Yes

Only for students with transportation barriers and while seats are available.