Application Boot Camp Reservation

Application Boot Camp Reservation Form

* Indicates required field

Student Name *

First

Last

Student Email *

Student Cell Phone *

High School *

Grade 2017-'18 School Year *

Parent Name *

First

Last

Parent Email *

Parent Cell Phone *

Make check for $250 payable to "The Accepted Life" and mail to:

Michelle Leonatti/Beth Silverstein
23450 SE 21st Court
Sammamish, WA 98075

You will receive an email confirming your spot for Boot Camp once your payment is received.

Submit