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Wait List Request
Thanks for your interest in our programs! If you have more than one child, please submit one form for each child.
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Child's First Name
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Child's Last Name
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Child's Birthdate
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Child's Sex
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Parent's First Name
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Parent's Last Name
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Parent's email
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Parent's phone
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Our schedule would allow my child to attend:
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Monday Coyotes/Eagles (ages 6-12)
Wednesday Coyotes/Eagles (ages 6-12)
Friday Coyotes/Eagles (ages 6-12)
Campfire Wednesdays (after school - ages 6-12)
Campfire Friday (after school - ages 6-12)
Friday Fuzzy Caterpillars (ages 3-6)
Other:
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Comments: Please tell us anything else it would be helpful to know about your child.
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