Ilm Tree Summer Program 2024
Please carefully fill out the following information
Student Name 1
*
First Name
Last Name
Gender
*
Please Select
Male
Female
N/A
Age (first student)
*
Student Name 2
First Name
Last Name
Gender
Please Select
Male
Female
N/A
Age (second student)
Student Name 3
First Name
Last Name
Gender
Please Select
Male
Female
N/A
Age (third student)
Student Name 4
First Name
Last Name
Gender
Please Select
Male
Female
N/A
Age (fourth student)
Parent E-mail
*
example@example.com
Mobile Number
*
Please list any Allergies:
'Payment per child' (please check off the number of children attending and input amount in the 'Total' slot below before submitting)
*
First Child $150
Second Child $130
Third Child & beyond $110
'Total' (please add up the amount per child mentioned above and manually input the total here). Ex: Two kids would be $280. Three kids would be $390
*
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