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Libertyville Improv Camp
9:00a-3:00p each session

SESSION ONE: 6/10 - 6/21
SESSION TWO: 6/24 - 7/5 (NO CAMP ON 7/4)
SESSION THREE: 7/8 - 7/19
SESSION FOUR: 6/22 - 8/2


$595 Full Day Camps

New Student *
Student Name *
Your answer
Full Day? Which Weeks? *
Required
Half Day? Which Weeks? *
Required
Interested in One Week? Please Call the office 847-968-4529
Grade (Fall) *
Your answer
Parent/Guardian Contact 1 *
Your answer
Phone number (cell) *
Your answer
Phone number (home)
Your answer
Phone number (work)
Your answer
Parent/Guardian (Contact 2) *
Your answer
Phone number (cell) *
Your answer
Phone number (home)
Your answer
Phone number (work)
Your answer
Student's Doctor's Name and Number *
Your answer
Medical Conditions Staff should be aware of (allergies, behavioral, etc) *
Your answer
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