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2021 PhillyQuest! Summer Camp Registration
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Email
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Your email
Child First and Last Name
*
Your answer
Child Date of Birth
*
MM
/
DD
/
YYYY
Gender
Female
Male
Home Address
Your answer
Enrollment Weeks: minimum enrollment 2-3 weeks consecutively.
*
June 14-18 (Week 1) $355
June 21-25 (Week 2) $355
June 28-30 (Week 3) 3 days week **closed July 1-2** $213
July 6-9 (Week 4) 4 days week **closed July 5** $284
July 12-16 (Week 5) $355
July 19-23 (Week 6) $355
July 26-30 (Week 7) $355
August 2- 6 (Week 8) $355
August 9-13 (Week 9) $355
August 16-20 (Week 10) $355
August 23-27 (Week 11) $355
All weeks 6/14-8/27 ,$3479 (including $213 discount)
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Please select an option:
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CCIS *(copay required)
Private Pay
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Parent 1 Name (First and Last)
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Parent 1 Email Address
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Parent 1 Cell phone
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Parent 2 Name (First and Last)
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Parent 2 Email Address
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Parent 2 Cell Phone
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Notes and Comments
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