Summer Camp Enrollment
Registration Form
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Parent/Guardian Name *
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Camp Session *
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Summer Social Group Camp Session 1 (June 24 - 28) ages 3-5
Summer Social Group Camp Session 2 (July 1 - 5) ages 6-9
Preschool & Kindergarten Readiness Camp Session 1 (July 9 - August 1)
Child's Name *
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Child's Date of Birth *
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YYYY
Email *
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Address *
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Phone number *
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Emergency Contact/ Phone *
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Allergies or Precautions (please describe in detail) *
Your answer
What would you like your child to get out of this camp? *
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Is there anything else we should know about your child?
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Please share any information you feel would help us better understand your child. Information about the school they attend or any documentation would be helpful.
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