Home Phone Number (XXX-XXX-XXXX) If Not Applicable, N/A *
Your answer
Parent/Guardian Cell Phone Number (XXX-XXX-XXXX) If Not Applicable, N/A *
Your answer
Mailing Address *
Your answer
City, State, Zip *
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Parent/Guardian Email *
Your answer
How will you be submitting payment? *
I give/do not give permission for photos or videotapes of my child to be reproduced for DGF promotional or educational purposes. *
Required
WAIVER *
I, the undersigned, parent/guardian of the above name child assume responsibility in case of accidents, injury or lost or damaged personal items during the program’s duration.
Required
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