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SUMMER CAMP CLUB REGISTRATION

Child's Name *
Child's Name
D.O.B. *
D.O.B.
Select *
Confirm Location *
Parent/Guardian *
Parent/Guardian
#1
Cell Phone *
Cell Phone
Parent/Guardian *
Parent/Guardian
#2
Cell Phone *
Cell Phone
Emergency Contact *
Emergency Contact
Please add 3 local people other than yourself
Cell Phone *
Cell Phone
Emergency Contact *
Emergency Contact
Cell Phone *
Cell Phone
Emergency Contact *
Emergency Contact
Cell Phone *
Cell Phone
Prices are based on monthly payments
I agree to pay monthly tuition *
All payments and deposits are final *
By accepting I understand that deposits and fees are NON-REFUNDABLE or NON-TRANSFERABLE
 
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