RestoreOKC Summer Camp Enrollment Form

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RestoreOKC Summer Camp Enrollment Form

I would like to enroll my student in Summer Kids Camp! I understand that Camp will be held every Monday, Wednesday, & Friday from 9am-1pm.

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Email *

Your email

Parent / Guardian Name *

Your answer

Student Name *

Your answer

Student Birthday *

MM

/

DD

/

YYYY

Grade Entering *

K

1

2

3

Phone *

Your answer

Address *

Your answer

Daycare *

Your answer

Daycare Phone *

Your answer

Emergency Contact *

Your answer

Emergency Contact Phone *

Your answer

Emergency Contact Relation To Student *

Your answer

Allergies

Your answer

Medications Taken

Your answer

Other

Your answer

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