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2024 Wild Child Summer Registration
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* Indicates required question
Which Week(s)?
*
Wild Child 1 (July 8 - 12)
Wild Child Week 2 (July 15-19)
Wild Child Week 3 (July 22 - 26)
Wild Child Week 4 (July 29 - Aug 2)
Required
How many days a week will your child attend?
*
3-day/week
4-days/week
5-days/week
Other:
Which days will your child attend each week?
Monday
Tuesday
Wednesday
Thursday
Friday
Participant's Last Name
*
Your answer
Participant's First Name
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Gender
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
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