5C Summer Program 2022
Join us for a fantastic summer experience full of fun, exciting, & educational activities that will keep your child engaged! Lunch is provided!  May 16 - August 24.  Will be Closed Monday, May 30th for Memorial Day & Monday, July 4th for Independence Day.
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Email *
FAMILY PROFILE
Please list ALL children & birthdates that will be enrolled in the summer program: *
Home Address: *
Primary Phone # *
Who do the children live with? (please mark all that apply) *
Required
Parent/Guardian One:  Name & email & phone (please give address only if different from child(ren).                                                                           *
Parent/Guardian Two:  Name & email & phone (please give address only if different from child(ren).                                                                           *
Emergency Contact: Please list all names and phone#'s of people allowed to pick up or contact in case of an emergency. (NOT parent or guardian)
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