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Wild Island Adventure
July 22 - 26   9:30am to 12:30pm  SNARL
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Email *
Student's name *
Student's age (now) *
Student's grade (entering Fall 2024) *
Parent's names *
Phone number *
Please list emergency names and phone numbers not listed above *
Let us know if someone other than a parent has permission to pick up your child. *
Please list any medical or behavioral information, learning disabilities or special needs of your child.  This information will be kept confidential. *
Behavior Agreement  An enrichment class of this type requires motivated , well-behaved students in order to ensure a quality experience for all. If your child fits this description, please read and sign the following:  My child and I agree to comply with all of the rules of the class.  We agree to respect the rights of others, follow directions of the University staff, participate in all activities and behave in a manner that ensures our safety and the safety of others.  We understand that students who do not comply will be asked to leave the class and may not return. No refunds will be given. *
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A copy of your responses will be emailed to the address you provided.
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