Registration

To register for camp, please submit the information below, and email us your completed waiver.   Registration is not complete until both the form and payment are received. You will receive an email confirmation of your completed registration. Payment is accepted online via PayPal or credit card; you can also send a check to: 

Pacelli Zepka Corporation
PZ Math Calculus Camp
1136 Main Street
Williamstown, MA 01267

Please read the terms and conditions before you fill out the registration form.

 

Registration Form

Name*
Age at Start of Camp:*
E-mail:*
E-mail confirmation:*
Address:*
Phone:*
-
Gender:*
Math Course Taken 2016-17:*
I am taking AP Calc (or equivalent) in the fall:*
T-Shirt Size:*
T-Shirt Fit:*
I've read the Terms and Conditions (link above)*
Payment*
Total:
Word Verification:

Emergency Contact Form

Student Name:*
Emergency Contact 1:*
Relationship:*
Phone:*
-
Address:*
E-mail:*
E-mail confirmation:*
Emergency Contact 2:*
Relationship for 2nd Contact:*
Phone for 2nd Contact:*
-
Address for Second Contact:*
2nd Contact E-mail:*
2nd Contact E-mail confirmation:*
I will read and send in the waiver linked above.*
Word Verification: