Summer Camp 2019- Enrollment Form

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Summer Camp 2019- Enrollment Form

* Indicates required question

Email *

Your email

Child's First Name *

Your answer

Child's Last Name *

Your answer

Child's Date Of Birth *

MM

/

DD

/

YYYY

Child's Gender *

Female

Male

Any allergies/health concerns? *

Your answer

Do You Have A Sibling? *

Yes

No

Name of Sibling(s)

Your answer

Sibling's Date of Birth

MM

/

DD

/

YYYY

Sibling's Gender

Female

Male

Clear selection

Any allergies or health concerns? (Sibling)

Your answer

Parent's Name *

Your answer

Parent's Phone Number *

Your answer

Home Address *

Your answer

Emergency Contact *

Your answer

Enrollment Type (8% Early bird discount expires 12/7) *

Full Camp NGN100,000

6-Weeks NGN95,000

Monthly NGN85,000

Weekly NGN25,000

Will child be participating in the recital on 30/8? *

Yes

No

Submit

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