2023 Summer Registration Kids Junction

Kids Junction, Inc. Summer 2023 Registration Form

There is no registration fee for summer. Spots are filled on a first-come, first served basis. Please return your paperwork as soon as possible to ensure that you get the days desired. Please understand that you are financially responsible for all days that you have signed up for once your camp form has been submitted. A current credit card must be kept on file at the time of registration. Your first week’s tuition will be charged to your credit card. Tuition is due every Monday. You may pay by check. If your weekly tuition is not received by Wednesday morning, your credit card will be charged. Once again, thank you for your continued support of Kids Junction.
Child’s Name
Date of Birth

MonthDayYear
Date
Child’s Name
Date of Birth

MonthDayYear
Date
Child’s Name
Date of Birth

MonthDayYear
Date
Parent/Guardian Name 1*
Parent/Guardian Name 2
Relationship 1
Relationship 2
Address 1 (Street)*
Address 2 (Street)
Address 1 (Town, State, Zip)*
Address 2 (Town, State, Zip)
Home Phone
Home Phone
Work Phone
Work Phone
Cell Phone*
Cell Phone
We rely heavily on email communication. Please list the email or emails your would like info sent to: Email 1*
example@example.com
We rely heavily on email communication. Please list the email or emails your would like info sent to: Email 2
example@example.com
Start Time Desired :
Hours: 7am to 6pm
Pick up Time Desired:
Grade(s) Child/Children are entering in September
Parent Signature*

Clear
Date

MonthDayYear
Date
Kids Junction Inc

406 Maple Avenue, Barrington, Rl 02806
Child's Name
Age
Please check the days your child will be attending our 2023 Summer Camp Program...Please understand that you are financially responsible for all holidays and days that you have signed up for once your camp form has been submitted.

THANKS FOR YOUR SUPPORT !
Week of June 26th - June 30th

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Week of July 10th - July 14th

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Week of Aug 21st - Aug 25th

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