2632-B Mountain Industrial Boulevard
Tucker, GA 30084
Office (678)525-3498
Email AEC

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2010 Summer Enrichment Programs
Registration
Due By May 24, 2010

Enter Camper Information:

* Student First Name
* Student Last Name
* Student Email
Cell Phone
* Home Phone
* Address
* City
* State
* Zip
* Mother's Name
* Mother's Email
Mom's Mobile Number
Father's Name
Father's Email
Dad's Mobile Number
* Grade Level
Insurance Policy Number
Insurance Company
Alpha Summer Leadership Institute ($395)
FVSU Leadership Camp ($395)
GA Tech Math & Science Camp ($495)
UGA Math & Science Camp ($495)

* = Required Field
**NOTE: Your registration is NOT complete until payment is received.