Rocket Camp Registration Are you a member of Carolina Homeschooler?*(Members have priority for this event. Non-members can still register for our waiting list and will be notified if spots become available. No payment will be due until spots are confirmed.)YesNoPlease provide your membership number below:*Email address of the person I'll be communicating with* Enter Email Confirm Email Address* Street Address City State / Province / Region ZIP / Postal Code Cell Phone*Total number of adults attending this event.*Total number of students attending this event.*First Parent (the person I'll be communicating with)* First Last Second Parent (if attending) First Last Children*List names and ages (as of April 26, 2017) of all children attending.Additional GuestsList names of grandparents and other adult guests here.Special Needs*Please describe any special needs (health, educational, dietary, etc.) that may impact your family's experience at this event. I'll check to see if your needs can be accommodated before you mail payment. (Note: No money will be refunded or special accommodations will be made due to allergies or other special needs if you don't tell me about them when you register.) Type "none" if there are no special needs.Cancellation and Refund Policy*Full payment will be due within 7 days of my email confirmation of your spots at this event. Payments are refundable only if I have a family on my waiting list to replace you, and a $10 cancellation fee will be deducted from your refund. No replacements, roster changes, or refunds will be made after March 15, 2017. Your signed waiver and payment acknowledges your understanding and agreement with my cancellation and refund policy.I've read, understand, and agree to the terms of the cancellation and refund policy described above.I don't agree to the terms of the cancellation and refund policy described above.NameThis field is for validation purposes and should be left unchanged.