K-12 Summer Camp Registration Interest Form 2021

K-12 Summer Camp Registration Interest Form 2021

Please note: Children are required to have started Kindergarten to be eligible for our K-12 Out of School Care program. Please see our Pre-K Summer program information for those that have not yet started Kindergarten.
Student Name

First Name Middle Name Last Name
Birth Date

Month Day Year
Gender
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Parent Full Name

First Name Last Name
Parent E-mail
Parent Phone

Area Code Phone Number
Attendance Dates

Week 1: July 5th - 9th Week 2: July 12th - 16th Week 3: July 19th - 23rd Week 4: July 26th - 30th Week 5: August 9th - 13th Week 6: August 16th - 20th Week 7: August 23rd - 27th Week 8: August 30th - September 3rd Drop in (call on the day to see if there is space)

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