Summer Camp 2023
Vidalife Summer Camp application form
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Email *
Name and relation to child *
Contact phone number *
What is the name and age of your child/children? *
How did you hear about us?  *
Does your child have any speech, hearing or visual impairments? *
Does your child have any medical conditions which we should be made aware of? *
Would there be any restrictions to play or activities? *
Is your child potty trained? *
Does your child have experience playing with other children? *
T-shirt size (in youth sizes) *
How many days a week is your child planning to attend? 
If you are planning different days depending on the weeks please let us know on the  last question of this form. 
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What weeks are you interested in your child attending?  Camp is from 9am-4pm ( If you sign up for multiple weeks, you will receive $10 off each additional week) *
Required
Are there any other comments or information you would like to let us know about? *
A copy of your responses will be emailed to the address you provided.
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