CHOSEN GENERATION SUMMER CAMP
Registration Fee is $40.00 per child
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USD
Registration Fee
REGISTRATION FEE IS $40.00 PER CHILD.
$40.00
$80.00
$120.00
PAY LATER AT FACILITIES
PERSONAL INFORMATION
PARENT/GUARDIAN NAME:
*
CHILD"S NAME (LIST ADDITIONAL CHILDREN BELOW):
*
CHILD"S AGE:
*
EMAIL ADDRESS:
example@example.com
PHONE NUMBER:
*
STREET ADDRESS:
*
CITY, STATE:
*
ZIP CODE:
*
EMERGENCY CONTACTS
NAME/RELATIONSHIP:
*
PHONE NUMBER:
*
NAME/RELATIONSHIP:
PHONE NUMBER:
ADDITIONAL CHILDREN
CHILD"S NAME:
AGE
GRADE COMPLETED
CHILD"S NAME:
AGE
GRADE COMPLETED
CHILD"S NAME:
AGE
GRADE COMPLETED
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SPECIAL CONCERNS (allergies, medications, medical conditions, etc)
*
GRADE JUST COMPLETED:
*
K5
1ST
2ND
3RD
4TH
5TH
6TH
7TH
PK-4
ACTIVITIES YOUR CHILD ENJOYS:
Proceed to Checkout
Should be Empty: