Summer Fun at Orchard Grove LLC

Summer Fun at Orchard Grove LLC

Please complete the registration form carefully. Once your form has been received, a confirmation email will be sent with program details, policies, and procedures as well as payment procedures. The entire week is $300 per child. Please pack a lunch, snack, as well as change of clothes, and join in the fun with us! Dates/Time: July 6th-10th 8am-3pm.
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Emergency Number
Format: (000) 000-0000.
Additional Comments (Please let us know any need-to-know information like allergies, etc.)
Should be Empty: