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weXplore Summer Xplorers Enrollment Form
We are so excited to offer our first Summer Xplorers Program starting in June 2022!
Each program day will run from 9:30am - 2pm.
Please fill out the form below for each student to enroll.
$400 = Mondays or Wednesdays (FULL 8 WEEKS)
$250 = Fridays (FULL 5 WEEKS)
A LA CARTE DAYS ARE $50 PER DAY.
Your spot is not guaranteed until you receive a confirmation email from us. Payment is due in full by May 25th, 2022.
Get ready to Xplore with us during this amazing summer!
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Email
*
Your email
Student First Name
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Your answer
Student Last Name
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
Parent/Guardian Phone Number
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Your answer
Approved Adults for Pickup - please include phone numbers:
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Your answer
Student Allergies
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Your answer
Student Sensitivities or other medical information
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Your answer
CHOOSE DAY(S) YOU'D LIKE TO ENROLL IN (FULL SUMMER): **We will meet from from 9:30am - 2pm.
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MONDAY - Solana Beach & Encinitas - June 6th, 13th, 20th, 27th, July 11th, 18th, 25th, Aug 1st
WEDNESDAY - Solana Beach & Encinitas - June 8th, 15th, 22nd, 29th, July 6th, 13th, 20th, 27th
FRIDAY - San Diego Bay - **Only meets for 5 weeks: June 3rd, 10th, 17th, July 22nd, 29th
NONE - I WILL CHOOSE A LA CARTE DAYS BELOW
Required
How did you hear about us?
*
Facebook
Instagram
Friend - if so, please put who in "other" section below so we can thank them!
Other:
A copy of your responses will be emailed to the address you provided.
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