Summer Reading Camp 2023
Summer Camp July 3 - August 3, 2023, Every Monday & Wednesday 2 - 4pm
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Email *
Parent/Gaurdian First & Last Name *
Confirm Email *
Parent/Guardián Phone Number *
Street Address *
City *
Zip Code *
What days will your child attend? We will fill the classes with children who can attend both days first.  *
Required
1st Child First Name *
1st Child Last Name *
1st Child Grade *
1st Child Age *
1st Child Sex *
1st Child Date of Birth
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DD
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YYYY
1st Child Food Allergies *
2nd Child First Name
2nd Child Last Name
2nd Child Grade
2nd Child Age
2nd Child Sex
2nd Date of Birth
MM
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DD
/
YYYY
2nd Child Food Allergies
3rd Child Last Name *
3rd Child First Name
3rd Child Grade
3rd Child Age
3rd Child Sex
3rd Date of Birth
MM
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DD
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YYYY
3rd Child Food Allergies
4th Child First Name
4th Child Last Name
4th Child Grade
4th Child Age
4th Child Sex
4th Child Date of Birth
MM
/
DD
/
YYYY
4th Child Food Allergies
County you live in *
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