The Center 2024 DAY CAMP APPLICATION      
2024 Summer Day Camp Application 3.5 YRS - 9th grade
APPLICATION WILL NOT BE PROCESSED WITHOUT FULL PAYMENT or payment plan.  
LIMITED ENROLLMENT- June 25 - Aug 15 .

FULL SUMMER ONLY

**Registration only valid with payment**
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Email *
Center Membership Number
Family Name *
Address *
City,  State, Zip *
Mothers Name *
Mothers Cell Number *
Mothers Email *
Fathers Name *
Fathers Cell *
Fathers Email *
Emergency Contact Info: Name, Relationship *
Cell Phone Number *
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