Summer Camp 2022 - Registration Form

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We are very happy that you have shown interest in our Summer Programs. We are confident to create a positive impact in your child!

Student Profile

Name of Child *

Date of Birth *

YYYY

Age *

Gender *

Female

Male

Name of School *

Grade *

Name of Reading Host *

Please enter if you know your child's teacher's name

Which program has your child been a part of, in My Chapter One? *

Reading Gym

Summer Camp 2021

Both

None, My child is a new student

Other:

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