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2021 Summer Nature Camp Registration Contract for Children 4 - 6 Years of Age
There may be a material’s charge for frontier skills or the art program, depending on the project
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Email
*
Your email
Child's Name
*
Your answer
Address
*
Your answer
City, State and ZIP Code
*
Your answer
Email
*
Your answer
Phone
*
Your answer
Parent/Guardian Name
*
Your answer
Grade
*
Your answer
Age
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Please select Camp Session(s) ~ Camp tuition must be paid upon submission of enrollment form
Summer Camp Monday – Thursday / 9am - 1pm Children ages 4-6
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June 28 - July 1 ($625.00)
July 5 - July 8 ($625.00)
July 12 - July 15 ($625.00)
July 19 - July 22 ($625.00)
July 26 - July 29 ($625.00)
August 2 - August 5 ($625.00)
August 9 - August 12 ($625.00)
Required
Method of Payment
*
Pay with Venmo!
https://venmo.com/code?user_id=2306685259481088221
Check or Money Order
PayPal
info@anotherwayschool.org
Cash
Venmo @AnotherWay-School
Total Paid
*
Your answer
Emergency Contacts
Name
*
Your answer
Relationship
*
Your answer
Phone
*
Your answer
Name
Your answer
Relationship
Your answer
Phone
Your answer
Are there any physical concerns?
*
Yes
No
If yes, please identify the concerns
Your answer
Signature of Parent/Legal Guardian
*
Your answer
Date
*
MM
/
DD
/
YYYY
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