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Inspired Achievers Academy (Summer Camp)
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Email
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Parent 1 ( Full Name)
*
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Cell Phone
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Email
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Address
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City
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State
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Zip code
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Parent 2 ( Full Name)
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Cell Phone
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Email
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Address
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City
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State
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Zip code
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Child 1 ( Full Name)
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Birthday
MM
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DD
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YYYY
Food allergies
*
Your answer
Choose the class that works best for you.
*
Tues/Thurs. 2 Days/WK $95/wk. 9:00--2:30 p.m.
MWF 3 Days/WK $135/wk 9:00--2:30 p.m.
M-F 5 Days/WK $175wk 9:00-2:30 p.m.
Child 1 T-shirt Size
*
XS
S
M
L
XL
XXL
Field Trip Permission
*
Yes
No
Maybe
Child 2 ( Full Name)
*
Your answer
Choose the class that works best for you.
*
Tues/Thurs. 2 Days/WK $95/wk. 9:00--2:30 p.m.
MWF 3 Days/WK $135/wk 9:00--2:30 p.m.
M-F 5 Days/WK $175wk 9:00-2:30 p.m.
Birthday
*
MM
/
DD
/
YYYY
Food allergies
*
Your answer
Child 2 T-shirt Size
*
XS
S
M
L
XL
XXL
Field Trip Permission
*
Yes
No
Maybe
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