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Katia & Company Summer Camp
2023 Registration Form
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Email
*
Your email
Full name of camper
*
Your answer
Preferred name, if different:
Your answer
Sibling attending (if applicable.) Use this form for both
Your answer
Camp(s) you are registering for:
Annie camps the week of July 10th and 17th are FULL
*
For Whom the Bell Rings, July 24th-28th in San Anselmo
West Side Story, July 10-21st in Novato
West Side Story, July 17-28th, in San Anselmo
Bay to Broadway, Aug 6-12th in New York
Other:
Required
Incoming grade:
*
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
Required
Please list any allergies, medical or behavioral conditions we should be aware of:
Your answer
Does your child have a a sibling or friends attending camp they would like to be placed with:
Your answer
Does your child have any physical limitations, social or emotional concerns we should be aware of?
Your answer
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