2024 Summer Camp!
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2024 Summer Camp!
Child's First and Last Name *
Child's Age as of June 10, 2024 *
Child's Date of Birth *
Please select your child's Camp based on age. *
What school or program will your child be attending in September. *
Parent's Name *
Parent's Email *
Parent's Home Address *
Parent's Mobile Phone *
Emergency Contact Name *
Emergency Contact Mobile Phone *
Please indicate any food allergies, medical conditions or any other information we should be aware of. If none, please indicate NONE.  *
I agree to register my child for the following camp weeks. I agree to pay all camp fees upon receipt of invoice.  No refunds or credits will be given for missed camp days or schedule changes.   Registration will only be deemed completed upon receipt of this form and payment in full for all weeks selected.    *

Week 1 - June 10 -14/Oooey Gooey 

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Week 2 - June 17 -21/Fun and Fitness

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Week 3 - June 24 – 28/Mad Science

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Week 4 - July 1 – 3 /Community Helpers

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Week 5 - July 8 – 12/Storyteller Author Visits

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Week 6 - July 15 – 19/Chef University

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Week 7 - July 22 – 26/Where the Wild Things Are

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Week 8 - July 29 – August 2/Tropical Paradise

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Week 9 - August 5 – 9/Under the Big Top

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Week 10 - August 12 – 16/Famous Artists

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Week 11 - August 19 – 23/SURPRISE VENTURE AVENTURE! 

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Week 12 - August 26 – 30/Holidays Around the World

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I give permission to allow my child to be photographed and to allow any pictures in which my child appears to be released for publication in newspapers, brochures, for fundraising or public relations.

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I give permission to seek emergency medical treatment for my child in the event that I cannot be reached.

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