Summer at Stages: Four-Week Pass Enrollment Form

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Summer at Stages: Four-Week Pass Enrollment Form

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* Indicates required question

Full Name of Parent/Caregiver *

Your answer

Email *

Your answer

Phone *

Your answer

Name of Child 1 *

Your answer

Birthday of Child 1 *

MM

/

DD

/

YYYY

Name of Child 2

Your answer

Birthday of Child 2

MM

/

DD

/

YYYY

Camp you would like to register for *

Mini-Camp (Ages 2.5-4yrs)

Half Day (Ages 3.5-5y)

Full Day (Entering Gr. K-8)

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