Summer Camp Registration Form 2023
Summer Camp 2024
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Email *
Name of the Child *
Date of Birth *
MM
/
DD
/
YYYY
Mother's Name *
Father's Name *
Mother's/ Father's Email Address *
Mother's Phone Number *
Father's Phone Number *
Week and Program *
Required
Days *
Timing *
Do you need any additional care before 9AM or after 5PM
List any Allergies
Submit
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