Child's Information
GIRLS ONLY ages 5-12 at time of registration
Event Timing: June 8 - August 14, 2020 - 7am  - 6pm
Cost of Camp:      $30 per Day or
                               $100 per Week or
                               $750 Full Camp (10 weeks)
                               Plus $35 Registration Fee

     (ALL PAYMENTS ARE NON-REFUNDABLE)

Event Address:   Girls Inc. 260 Broadway, Richmond, CA. 94804
Contact us at:     510-232-5440 (office)
                             510-809-5744 (Ms. Vicky)
                             or programs@girlsinc-wcc.org 

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Email *
Child's Name: First, Last: *
Child's Date Of Birth: *
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Current Grade: *
Current School: *
Race/Ethnicity: *
Home Address: *
City, State, Zip Code: *
Child Lives with: *
Number of People in Home: *
Primary Language Spoken at Home: *
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