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4/15-4/19 Spring Break Camp
$275 full week camp or $75 daily drop in
Filling out this form signs your child up for the program. For questions, please reach out to Brendan Herlihy at 914-409-6693.
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Email
*
Your email
Child's first name
*
Your answer
Child's last name
*
Your answer
Parent's name
*
Your answer
Emergency contact name & phone #
*
Your answer
Payment type
*
Venmo (@Brendan-Herlihy-2)
Cash
Check (payable to Brendan Herlihy)
Any notes (e.g. attendance notes, allergies, injuries, etc.)
Your answer
A copy of your responses will be emailed to the address you provided.
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