Summer Camp Enrollment Form

2025 Summer Enrichment Pre-Registration
CHILD INFORMATION:
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Age*
Grade*
Name of School*
Camp Packages
BRONZE PACKAGE Perfect For Flexible Weeks (Choose Your Weeks)*Valid for 4 Weeks. SILVER PACKAGE (Choose Your Weeks)*Valid for 6 Weeks .GOLD PACKAGE Perfect For Campers that attend The Entire Summer
Allergies
Allergies/ Medical Concerns
CHILD INFORMATION:
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Age*
Grade*
Name of School*
Camp Packages
BRONZE PACKAGE Perfect For Flexible Weeks (Choose Your Weeks)*Valid for 4 Weeks. SILVER PACKAGE (Choose Your Weeks)*Valid for 6 Weeks .GOLD PACKAGE Perfect For Campers that attend The Entire Summer
Allergies
Allergies/ Medical Concerns
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
MEDICAL INFORMATION
Physician Name

First NameLast Name
Phone Number
Thank you for choosing Moms Tiny Treasures for your child's education! We are excited to welcome them to our community and appreciate your commitment to their learning journey. We look forward to partnering with you to support their success.

Phone : 301-800-0825

More Information : MTTEarlyLearningCenter.Com
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2025 Summer Enrichment Pre-Registration