Youth Summer Camp Pre-Registration Application
Registration Date: June 9, 10, 11, 2025 from 10am to 1pm [Parent or Guardian Must Attend] Event Timing: June 16th - July24th, 2025 Event Address: 4102 West Market, Louisville, KY, 40212 Contact us at (502) 299-4986 or justbetweenteens.parents@gmail.com
Youth's Name
*
Youth's Email
*
Parent or Guardian Name
*
Parent or Guardian Cell #
*
Parent or Guardian Email
*
What day will the parent or guardian and child attend registration?
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[June 9] from 10am to 1pm
[June 10] from 10am to 1pm
[June 11] from 10am to 1pm
Dietary restrictions
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None
Vegetarian
Vegan
Kosher
Gluten-free
I understand that I will have to pay $100 upon arrival.
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Yes
Submit
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