Middle Grades Camp Registration

Governor’s Cup Middle Grades Camp Registration

June 24-27, 2024

Berea College

Registration fee is $400 prior to May 24 and $435 after that date

School(Required)

Current Grade(Required)

Gender(Required)

Phone(Required)

Email(Required)

Academic Track

Campers choose three courses from among FPS, Math, Science, Social Studies, Language Arts, and Arts & Humanities. This also includes Quick Recall practices/tournaments or FPS study sessions.

Quick Recall Experience Level

FPS Experience Level

Course 1(Required)

Course 2(Required)

Course 3(Required)

T-Shrit Size(Required)

Sizes are adult sizes

Lodging

Lodging Options

Campers may choose either an overnight or day camper option.

Day camper dropoff and pickup instructions will be sent via email. To pick up a day campers you must be on the list provided by the guardian and provide a photo ID.

Lodging(Required)

Preferred Roommate(Required)

If none is provided we try to pair you with someone from your school, or someone who it taking similar courses.

Guardian Email(Required)

Guardian Phone(Required)

Emergency contact

Health Information

Insurance and Health Information

This must be completed fully.

Campers Insurance Company(Required)

Policy Number(Required)

Does the child require medication?(Required)

List of Medication(s) and Instructions(Required)

This is just for our records, KAAC does not assume responsibility for administering any medications. The child is responsible for their own medications and schedule.

Does the camper have any special dietary restrictions?(Required)

Dietary Description(Required)

Describe any dietary restrictions/needs.

Any other health related issues we need to be aware of?

Payment Deadline – June 7

This application is not complete until payment is made. The deadline for payment is June 7, unless invoicing arrangements have been made through your school.

Make checks payable to KAAC. Include campers name.

Mail to: 113 Consumer Lane Frankfort, KY 40601

Failure to submit full payment by the deadline will result in loss of registration.

Upload Liability Waiver(Required)

Please scan and upload the signed liability waiver for the student.

Accepted file types: pdf, png, jpg, Max. file size: 2 GB.