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Inner City Youth Group - Summer Camp 2018
Summer Camp enrollment form. The dates are July 9th - August 17, 2018, Monday thru Friday, 8-4pm. The cost is $125 for return 2017 participants and $160 for all others. This is the discount until May 18, 2018. On May 19th, prices are $200 for the entire summer, if paid by June 18th. There is a $15 registration fee per participant. You will receive an invoice immediately after registering.
INQUIRE about the multi-family discount..
Email address *
Which location do you prefer? *
Student School *
Your answer
Student Full Name *
Your answer
Street Address *
Your answer
Zip Code *
Your answer
Primary Phone Number *
Your answer
Student T-Shirt Size (Y=Youth A=Adult) *
Date of Birth *
Your answer
Gender *
Ethnicity *
Your answer
How did you hear about this program? *
Parent/Guardian Full Name *
Your answer
Please select your relationship to the student *
Address (if different from the student's)
Your answer
Primary Phone Number *
Your answer
Email Address *
Your answer
Emergency Contact Name *
Your answer
Relationship to the student *
Your answer
Address (if different than the student)
Your answer
Message from Inner City Youth Group (You will receive an invoice which requires a 50% deposit which includes a $15 registration fee)
Captionless Image
Your answer
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