Summer Camp Registration Form

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Summer Camp Registration Form

Please sign up each child individually

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* Indicates required question

First and Last Name of the child
*

Your answer

Child Birth Day *

MM

/

DD

/

YYYY

Gender *

Male

Female

Parent Name *

Your answer

Address *

Your answer

Parent Email *

Your answer

Parent Cell Phone *

Your answer

Child Allergies/Food Intolerances *

Your answer

Is your child potty trained? *

Yes

No

Emergency Contact Name & Number *

Your answer

Submit

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