Summer Day Camp Reservation Form
Please fill out the form below to reserve a spot in our summer camp. Further information will be requested.
Camper's Full Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Parent/Guardian Full Name
First Name
Last Name
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Camp Session Class: lip floss & body oil DatesMonday June 22 Monday June 29 8:30am-3pmAges 7-12 $60 Kit included. Snacks provided students will make their own lip gloss and body oil. Last day to register for 6/22 class is 6/13 6/29 is 6/20
June 22
June 29
Special Needs or Allergies
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