QCSD Academic Summer Camp Online Registration
In order to fully complete online registration, please have emergency contact and medical information handy.

 
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电子邮件地址 *
Last Name of Student *
First Name of Student *
Student Mailing Address (Street or PO) *
Student City *
Student State *
Student Zip Code *
Student Home Phone Number *
Student Date of Birth *
年
/
月
/
日
Grade entering into this fall *
What school does your child attend currently? *
Your child's teachers LAST NAME: *
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