Saturday Camp
Fill out the form carefully for sign up of each participant.
Class Date
April 13th, 10 - 1 PM - Pizza - Epicentre
Class Date
April 27th, No Saturday Camp We will be at the park for the Dash for disABILITIES
Class Participant Name
*
First Name
Last Name
Gender
*
Male
Female
N/A
Age
*
Ethnicity
*
Hispanic/Latino
African American
Asian
White Caucasian
Other
City where you live
*
Family/Parent/Guardian Name
*
First Name
Last Name
E-mail
*
Mobile Number
*
-
Area Code
Phone Number
Number in Household
*
Number over 62
*
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April Monthly Family Donation
$
50.00
April Monthly Family Donation
April Monthly Family Donation
$
75.00
April Monthly Family Donation
April Monthly Family Donation
$
100.00
April Monthly Family Donation
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