2018 Maplewood Little Summer Camp Form

Full Name

First NameLast Name

Age

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail

Phone Number

Area CodePhone Number

Alt. Phone Number

Area CodePhone Number

June 24th-June 27th CLOSED$275.00

Times

July 1st-July 5th (NO CAMP JULY 4th) $275.00

Times
Item subtotal:

July 8th-July 11th CLOSED$275.00

Times
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July 15th-July 18th CLOSED$275.00

Times
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July 22nd-July 25th CLOSED$275.00

Times
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July 29th-August 1st $275.00

Times
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August 5th-August 8th $275.00

Times
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August 12th-August 15th $275.00

Times
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August 19th-August 22nd$275.00

Times
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Total $0.00

Waiver

2019 Maplewood Summer Camp