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Virtual Cue Summer Registration!
Hello parents! Please fill out this form so we have all of the information we need. Please contact me at
mollyherson@virtualcuellc.com
or (301)775-0150 if you have any questions!
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* Indicates required question
Camper Name
*
Your answer
Camper Current Grade
*
Your answer
Camper School
*
Your answer
Camper Pronouns
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Your answer
Parent Name 1
*
Your answer
Parent Email 1
*
Your answer
Parent Phone Number 1
*
Your answer
Parent Name 2
Your answer
Parent Email 2
Your answer
Parent Phone Number 2
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Phone Number
*
Your answer
Food Allergies
*
Your answer
Conflicts
*
Your answer
T Shirt Size
*
Your answer
Extra T Shirt Size ($25)
Your answer
Do you need financial aid? If yes, please email
mollyherson@virtualcuellc.com
Yes
No
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Have you paid the $650 tuition? (Please venmo @Virtual-Cue)
*
Yes
No
Have you paid the $50 costume fee? (not due until first day of camp)
*
Yes
No
Other:
Is there anything I should know about your camper?
*
Your answer
What are you most excited for?!
*
Your answer
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