Waitlist
Summer Camp 2025
Parent/ Gaurdian Name
*
First Name
Last Name
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Email
*
example@example.com
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Phone Number
*
Please enter a valid phone number.
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Number of Children
*
1
2
3
4
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Child #1
First Name
Last Name
Grade Entering (ex. 1st)
Age
Gender
Male
Female
Birthday
-
Month
-
Day
Year
Date
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Child #2
First Name
Last Name
Grade Entering (ex. 1st)
Age
Gender
Male
Female
Birthday
-
Month
-
Day
Year
Date
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Child #3
First Name
Last Name
Grade Entering (ex. 1st)
Age
Gender
Male
Female
Birthday
-
Month
-
Day
Year
Date
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Child #4
First Name
Last Name
Grade Entering (ex. 1st)
Age
Gender
Male
Female
Birthday
-
Month
-
Day
Year
Date
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Week(s) Interested in
*
Ages 4-7 from June 23rd-27th in the A.M.
Ages 4-7 from June 23rd-27th in the P.M.
Ages 4-7 from June 23rd-27thfor the Full Day
Ages 8-11 from July 7th-11th for Full Day Only
Ages 4-7 from July 14th-18th in the A.M.
Ages 4-7 from July 14th-18th in the P.M.
Ages 4-7 from July 14th-18th for the Full Day
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