UTA/TCC Fall Camp Registration We’re so excited for you to come to Fall Camp! Camp is at Mt. Lebanon Camp and Conference Center on 10/5-10/6! You can begin arriving at 12:00 PM. Register down below. Name* First Last Email* Phone*Gender* Male Female Will you be at least 18 years old on 10/05/24* Yes No: YOU WILL NEED TO GET A MINOR RELEASE FORM FROM A STAFF MEMBER Are you a part of a core? If so, which one?* I am not part of a core. Madison and Sarah P Skylar and Mia Sam S and Kodi Bailey and Kenya Dom and Sarah P Alisa and Ashley Laurel and Precious TCC NE Emily and Bailey TCC SE Bailey Are you a part of a core? If so, which one?* I am not part of a core. Graham and Vincent Mauricio and Daniel Juan and Garrett David and Colton Chris and Austen Kamaal and Josh TCC NE Bailey and Emily TCC SE Bailey Do you have any dietary restrictions?* Yes No What are your restrictions?* Will you need financial assistance to attend camp?* Yes No Could you pay the full amount in installments? If not, how much can you pay?*Would you like to pay online now?* Yes, I am attending all of fall camp and am new to FOCUS at UTA/TCC - $30 Yes, I am attending all of fall camp but have been part of FOCUS at UTA/TCC since before this year - $40 Yes, I am attending only 1 day of fall camp camp (UTA/TCC)- $15 No - I'll pay later. If you would like to include a scholarship to help other students pay for camp, you can enter the amount here. *Once everyone is paid for, any leftover funds will be transferred to the general fund to further the mission of FOCUS. Total $0.00 Credit Card*Card Details Cardholder Name