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972-872-8501

Summer Camp Registration Form

Student Information

Birthday
年
月
天
Gender

Our weekly theme: click to see our week theme

Attend Weeks

Our daily schedule is from 9:00 AM - 5:00 PM: click to see our schedule

I need extra care ($50/week per child for each)

Parents / Guardian Information

Parent / Guardian 1:

Relationship
Legal Custody?

Parent / Guardian 2:

Relationship
Legal Custody?
Do any of the children have allergies, chronic illnesses, or medical conditions?
Yes
No
Is an inhaler or medication prescribed?
Yes
No
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