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Parent and Contact Information
Father's name
Mother's name
Home Phone
Mother's Cell Phone
Father's Cell Phone
Emergency Phone
Child 1 Information
Name of Camper
Grade enrolled in
Grade
Nursery
Pre-K
Kinder
1st
2nd
3rd
Other
Date of birth
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
1999
2000
2001
2002
2003
2004
2005
2006
2007
Sex
Girl
Boy
Current School
Does your child have health problems or allergies? Please be specific
Child 2 Information
Name of Camper
Grade enrolled in
Grade
Nursery
Pre-K
Kinder
1st
2nd
3rd
Other
Date of birth
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
1999
2000
2001
2002
2003
2004
2005
2006
2007
Sex
Girl
Boy
Current School
Does your child have health problems or allergies? Please be specific
Child 3 Information
Name of Camper
Grade enrolled in
Grade
Nursery
Pre-K
Kinder
1st
2nd
3rd
Other
Date of birth
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
1999
2000
2001
2002
2003
2004
2005
2006
2007
Sex
Girl
Boy
Current School
Does your child have health problems or allergies? Please be specific
Acepto que el envío de la inscripción se considera exitoso sólo si recibo un email de confirmación. Su cupo sera confirmado via email.
First and last name are required
Email confirm
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