Jungle Book KIDS
July 22 - July 26, 2024 | Entering Grades 1-8

Please double check your registration information, and note that:
- all communications will be sent to the email listed below
- your child's name will be listed on all student materials and in the program as you enter it
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Email *
Student First Name *
Student Last Name *
Student Grade (in Fall '24) *
Student T-shirt Size *
Student Allergy/Medical Information
Please enter any pertinent allergy or medical information here. Please leave BLANK if no allergy/medical/diet info.
Student Birthdate *
MM
/
DD
/
YYYY
Student Address *
Parent 1 Name *
Parent 1 Phone Number *
Parent 2 Name
Parent 2 Phone Number
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