Day Camp Registration Wait List
We've maxed out our registrations. Please fill out the information on this form and we will contact you by Tuesday evening to let you know if we are able to reopen registration.

Thank you for your patience and interest in Day Camp.
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Adult/guardian name *
Adult/guardian email *
Adult/guardian phone number *
Child 1: Name *
Child 1: Grade Completed (2020-21) *
Child 2: Name
Child 2: Grade Completed (2020-21)
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Child 3: Name
Child 3: Grade Completed (2020-21)
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Child 4: Name
Child 4: Grade Completed (2020-21)
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切勿通过 Google 表单提交密码。
此表单是在 Bloomingdale Church 内部创建的。 举报滥用行为