High School Camp Registration High School Camp Registration Governor’s Cup High School Camp Registration June 17-20, 2024 Berea College Registration fee is $400 prior to May 24 and $435 after that dateName of Camper(Required) First Last School(Required) Current Grade(Required)8th Grade9th Grade10th Grade11th GradeGender(Required)MaleFemaleAddress(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Academic TrackCampers 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 LevelBeginnerModerateExperiencedFPS Experience LevelBeginnerModerateExperiencedCourse 1(Required)Math: AlgebraScience: Cells/BotanySocial Studies: Sociology, Anthropology, PsychologyLanguage Arts: Latin American, African, Eastern HemisphereHumanities: Visual ArtFPS District TopicCourse 2(Required)Math: GeometryScience: ChemistrySocial Studies: World CivilizationLanguage Arts: British and Russian LitHumanities: MusicFPS Regional TopicCourse 3(Required)Math: Stats and ProbabilityScience: Energy, Work, ThermodynamicsSocial Studies: American HistoryLanguage Arts: Short StoriesHumanities: FilmFPS State TopicT-Shrit Size(Required)Sizes are adult sizesSmallMediumLargeX-Large2X-LargeLodgingLodging 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)OvernightDay CamperPreferred Roommate(Required)If none is provided we try to pair you with someone from your school, or someone who it taking similar courses. Guardian Name(Required) First Last Guardian Email(Required) Guardian Phone(Required)Emergency contactHealth InformationInsurance and Health Information This must be completed fully. Campers Insurance Company(Required) Policy Number(Required) Does the child require medication?(Required)YesNoList 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)YesNoDietary 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.Please Verify(Required) I understand the payment and liability waiver deadline as described. Δ
