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Summer At Action Day Campbell 2023 Enrollment
If your child is currently in our Jr. K program, please fill out the below form to indicate their schedule for the summer.
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Email
*
Your email
Parent/Guardian First & Last Name:
*
Your answer
Parent/Guardian Phone Number:
*
Your answer
2nd Parent/Guardian First & Last Name
Your answer
2nd Parent/Guardian Email
Your answer
2nd Parent/Guardian Phone Number
Your answer
Child's First & Last Name
*
Your answer
Child's Date of Birth
*
MM
/
DD
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YYYY
Please select your child's desired schedule for June 5- 30 below.
5 days/week -Full Day- $1550 per month- save 20% per week when you pay monthly!
5 days/week- Part Time (9am-1pm)- $1120 per month
Pay By Week- Full Day- $465 per week
Pay By Day- $100 per day
If you are paying by week or by day for June, please indicate which weeks/days your child will attend:
Your answer
Please select your child's desired schedule for July 1- 31 below.
5 days/week -Full Day- $1550 per month- save 20% per week when you pay monthly!
5 days/week- Part Time (9am-1pm)- $1120 per month
Pay By Week- Full Day- $465 per week
Pay By Day- $100 per day
Other:
If you are paying by week or by day for July, please indicate which weeks/days your child will attend:
Your answer
Please select your child's desired schedule for August 1- 11 below.
5 days/week -Full Day- $775 per month- save 20% per week when you pay monthly!
5 days/week- Part Time (9am-1pm)- $565 per month
Pay By Week- Full Day- $465 per week
Pay By Day- $100 per day
Other:
If you are paying by week or by day for August, please indicate which weeks/days your child will attend:
Your answer
Additional Comments
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