Arbor Learning Lab Summer Camp Enrollment Form
Arbor Learning Lab: 2026 Enrollment Form
Student Information
Student Name
First Name
Last Name
Student Date of Birth
-
Month
-
Day
Year
Date
Grade Level for 26/27 school year
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Week 1 : June 2-5
$
325.00
Week 2: June 8-12
$
325.00
Quantity
1
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5
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20
Week 3: June 15-19
$
325.00
Quantity
1
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5
6
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Week 4: July 7-10
$
325.00
Quantity
1
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5
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8
9
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20
Week 5: July 13-17
$
325.00
Quantity
1
2
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5
6
7
8
9
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20
Week 6: July 20-24
$
325.00
Quantity
1
2
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5
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12
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20
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Parent/Guardian Information
Parent/Guardian 1
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian 2
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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Emergency Contact
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
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