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Summer Camp Enrollment
Registration Form
* Indicates required question
Parent/Guardian Name
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Your answer
Camp Session
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Choose
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
*
Your answer
Child's Date of Birth
*
MM
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DD
/
YYYY
Email
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
Emergency Contact/ Phone
*
Your answer
Allergies or Precautions (please describe in detail)
*
Your answer
What would you like your child to get out of this camp?
*
Your answer
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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