AIMPAC SUMMER OSC PROGRAM - Registration Request Form 
NOTE: This is a request to reserve your space in our OSC Summer Program. You will be notified in one of two ways within two business days of receiving your request:

1) APPROVED! An application will be sent via email. You will be required to formally submit this second application and pay the $100 Membership/Application Fee at this time to secure your space. 

2) ADDED TO WAITLIST: Due to limited space in the program, your Registration Request has been added to the waitlist. We will reach out to you should a space open for your child!

Please note this program is for School-aged children in Grades 1-5. Children starting Grade 1 in Fall 2023 would not qualify for this OSC program. Instead, please ask our team for more information about our Creative Kinders Full Day program!

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Parent/Guardian First & Last Name: *
Phone Number:
*
Email:
*
Child's First & Last Name:
*
Child's Date of Birth: 
*
I am interested in Full-Time Care for the Months of BOTH July + Aug *
Required
I am interested in FULL-TIME Care for the month of JULY ONLY
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I am interested in FULL-TIME Care for the month of AUGUST ONLY 
Clear selection
I am interested in FULL-TIME Care for any 4, 5 or 6 weeks at $325/week:  *
If you are interested in buying 4, 5 or 6 weeks of programming, please list the weeks you would like to request: 
Other comments and/or questions for our team: 
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