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Camp Very Wells Registration for March 25-29, 2019
Contact us: 919-619-9172

Please fill out the form below to enroll your child in our camp. If you are enrolling more than one child, please complete one form per child.

To reserve your child's spot, a non-refundable deposit of $25 is due upon enrollment. Payment in full is due on Monday, March 4.

Thank you!

Email address *
Name First *
Your answer
Name Last *
Your answer
Best day-time phone contact during camp hours *
Your answer
Mailing Address *
Your answer
Email *
Your answer
Child's Name *
Your answer
Would you like to add Extended Day? Camp hours are 9am - 3pm. *
Please list any alergies your child may have. *
Your answer
Please list here any other information you would like us to know.
Your answer
If enrolling before March 4, you may pay in full or make a non-refundable $25 deposit to reserve a spot for your child. For paypal, please use: . *
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