IMPACT 2024-2025 REGISTRATION & WAIVER FORM
This year's Summer Camp will be on July 15-19. The registration fee is $40 per child. For families with 2 children, the fee will be $60 total. Please contact us if you have 3+ children for additional sibling discount information (info@impactingkids.org)!

Submit your camp payment via this link: www.impactingkids.org/summer-camp-registration-fee. Thank you!
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First Name of Child (Nombre del estudiante) *
Last Name of Child (Apellido del estudiante) *
Child's Birthdate (Fecha de nacimiento) *
MM
/
DD
/
YYYY
Gender (Género) *
Grade in Fall 2024 (Grado en el otoño 2024) *
Name of School (Nombre de su escuela) *
Anything you need to let us know about your child? (¿Algo que necesites informarnos sobre el niño?)
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