REGISTRATION

Summer Camps will run on the following weeks: July 7th and 14th, August 4th and 11th on Mondays through Thursdays from 12:30pm-3:00pm. The price for 4 days is $85.00 per week.

Student Name(Required)

DOB

Mom's Email(Required)

Dad's Email(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mom Cell Phone

Dad Cell Phone

Emergency Contact(Required)

Emergency Phone(Required)

Allergies or Medical

Summer Program Options

Week of July 7th Moana

Week of July 14th Glow Party

Week of August 4th Pop Star

Week of August 11th Dancy Pawty with my Pet

Phone

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