Oxford Stars Summer Registration Form 2021

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Please complete the form with your child's information to register your child for the Oxford Stars Summer Program. We will call you to confirm their enrollment and with the bus information.
If you have any questions, please contact Mackenzie Mojica 484-888-9036 or oxfordstars250@gmail.com

Name of student *

Student Email

Student Cell Number

Parent Name

Parent Email *

Parent Phone numbers (can list more than 1)

Address *

Emergency Contact Name and Phone Number *

Any questions for the Stars Staff?

I give permission for my child to attend the 21st Century Oxford Stars Program held in Penn's Grove Middle School beginning on June 21st, 2021. (Type your name here). *The Stars staff will call you to verify registration*

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