Summer Activities Club 2024
Money will be collected via cash, money order, or check each week. Failure to pay the week will result in your child being blocked at the door. Checks and money orders should be made payable to Our Lady of Victory School.  
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Child’s Last Name *
Child’s First Name
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Date of Birth
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Address

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Phone #                               
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Parent/Guardian Name(s)
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Parent/Guardian Name(s)  Cell #
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Give emergency contacts if parent cannot be reached. Name and #

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My Child will attend the summer club for:

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Days I need the summer club: *

Who will be picking up your child from camp? Name & cell #

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Does your child have any allergies or medical conditions? If none, write none.

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