Babysitting Day Camp-CLASS IS FULL

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Who: Participants must be 11 years old.
When: Saturday, April 24, 2021
Where: FM Ambulance, 2215 18th St. So., Fargo, ND
Time: 9 am - 3 pm
No transportation provided. Parents must bring and pickup their student.
Pizza and beverage lunch provided. Students can bring a snack if they like.
Cost: $70
Limit: Class size is limited to 20 (minimum of 10 enrolled)

Student First and Last Name *

Address *

City *

State *

Zip Code *

Birthdate (MM/DD/YYYY) *

Grade *

5th

6th

7th

8th

9th

10th

Other:

Emergency Contact (First and Last Name) *

Emergency Contact Email *

Emergency Contact Phone Number (XXX-XXX-XXXX) *

Food Allergies (If no allergies, please write N/A)

Payment of $70 will be made by: *

SchoolPay

Check (Dropped off in Community Education Office in Glyndon)

Cash (Dropped off in Community Education Office in Glyndon)

I, the undersigned, will assume responsibility in case of accidents, injury or lost or damaged personal items during the program’s duration. *

I agree

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