CSAD WINTER CAMP Registration

Student's Name*

First NameLast Name

Age*

School

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Will sibling be attending as well?

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Student's Name

First NameLast Name

Age*

School

List any allergies or medical conditions the school needs to be aware of

Parent's Name*

First NameLast Name

Contact Number*

E-mail*

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Emergency Contact Name*

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Emergency Contact Number*

Same As AboveOther

If interested in signing up for more than one camp week, call Amber for specials! 713-464-2787

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DECEMBER 22 - 24 ( 3 DAY) M - W 2 Hours a Day$120.00

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SessionsQuantity

DECEMBER 22 - 24 (2 DAY) M - W Full Days - 10 AM-3 PM$240.00

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December 29 - Jan 2nd ( 5 DAY) M - F 2 HOURS A DAY$200.00

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December 29 - Jan 2nd ( 5 DAY) M - F Full Days 10 AM - 3 PM$390.00

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Jan 5 - 6 (2 DAYS_ M - T (2 Hours A Day)$80.00

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SESSIONSQuantity

Jan 5 - 6 (2 DAYS) M - T (Full Days 10 AM - 3 PM) $160.00

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Quantity

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CSAD Winter 2025 Camp Registration

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