Summer at West Valley Middle School 2024
We are excited for you to join us for our summer camp this year! Please fill out the form FOR EACH INDIVIDUAL CHILD to submit your enrollment. 
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Email *
Parent/Guardian First & Last Name: *
Parent/Guardian Phone Number:
*
Home Address:
*
2nd Parent/Guardian First & Last Name:
2nd Parent/Guardian Email:
2nd Parent/Guardian Phone Number:
Child's First & Last Name:
*
Child's Date of Birth:
*
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Any Known Allergies:
Authorized Pick-Up Contacts (Please include full name and phone number):
Child's Grade Level Completed in 2023-24 School Year:
*
Please select your camper's desired schedule for June 1 - June 30 below.
If you are paying by week or by day for June, please indicate which weeks/days your child will attend:
Please select your camper's desired schedule for July 1 - 31 below.
If you are paying by week or by day for July, please indicate which weeks/days your child will attend:
Please select your camper's desired schedule for August 1-9 below.
If you are paying by week or by day for August, please indicate which weeks/days your child will attend:
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