2023 Summer Enrichment Registration
Please complete this registration to hold a spot for your child in our Summer Enrichment program.  We are accepting registration for children Ages 3- 10 this summer.
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Email *
Name of Child/Children Attending *
Birthdates and Ages (as of 7/1/2023) of Child/Children Attending
Grade child will be entering in September 2023 *
Parent/Guardian Names, Emails, and Emergency Contact Phone Number(s) *
Family School District
Family Address & Phone Number
Emergency Contact Information  (List 3 in the order you would like them to be contacted) *
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