CamP-123 Registration 2023

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Please fill out this form to register for CamP -123. Contracts will be sent after registration. No deposit needed: Spot is reserved by paying in full.
$430.00 per week if payment is received by April 1, 2023.
$460.00 per week if payment is received after April 1, 2023.
Children must have completed Kindergarten to attend this camp.

Email *

Child's first & last name *

Parent(s) Name (First, Last) *

STEAM (June 12-16)

Wizarding World (June 19-23)

Other:

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Street Address *

City, State, Zip Code (if using auto fill make sure you enter zip code) *

Cell # *

Child's Birthdate *

Child's Age as of June 1, 2022 (Child must have completed Kindergarten) *

Your child school *

Allergies/ Medical Conditions

Media Release *

I authorize and give full consent to Play & Grow Camp to take photographs and videos in which my child appears while enrolled in camp. Play & Grow may use these photographs and videos to be included in publications and social media. No names will be used in these publications.

I decline to have pictures and or videos of my child used.

Required

Parent/Guardian Signature: (Print Full Name) *

A copy of your responses will be emailed to the address you provided.

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