Summer Program Registration
Please fill out one form per child. Contact Annmarie Altomare for any questions at AnnMarieA@olgflc.com
Parent’s Name
First Name
Last Name
Child’s Name
*
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Which session/s will your child attend? All sessions will go from 9am-1pm
*
Primary Sessions 1 ($160/week): June 24-27
Primary Sessions 2 ($120/week): July 1-3
Primary Session 3 ($160/week): July 8-11
Primary Session 4 ($160/week): July 15-18
Registration is due by June 1.
Make checks payapble to: Our Lady of Guadalupe Family Life Center and drop off at 5181 Roma St. in the small blue box at the front door.
Submit
Should be Empty: