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Spring Break Camp 2023-24
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What grade is your child in?
*
Your answer
What is your child's first and last name?
*
Your answer
Which session(s) are you interested in?
Friday, March 8th: Excited Engineers
8:30am - 12:00pm
Monday, March 11th: For the Creators
8:30am - 12:00pm
Tuesday, March 12th: Movie Madness
8:30am - 12:00pm
Parent(s)/Guardian(s)
full name(s)
and
phone number(s)
:
*
Your answer
Please fill out two emergency contacts with their
full name
and
phone number
.
*
Your answer
Does your child have any allergies or emergency medication?
Yes, I'll provide an emergency medication.
Yes, no emergency medication is needed.
No, my child has no allergies or emergency medications.
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If your child has an allergy or emergency medication, please explain their allergy and any information we'll need. If not, please write N/A.
Your answer
Is there any other information we'll need to best support your child at Spring Break Camp? If not, write N/A.
Your answer
Does KaleidoHope have permission to take pictures of your child to post on our Facebook page?
(Please state
Yes
or
No
and sign by
typing your name
)
Your answer
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