Registration
Fill out a separate form for each child
Wonder World Academy
Summer Camp Address: 4780 West Morton Rd., Johns Creek, Ga 30022
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Email *
Child Name (First and Last Name) *
Child Birthday: *
MM
/
DD
/
YYYY
Home Address: *
Parents Information:
Parent #1 Name: *
Parent #1 Email:
if different from primary Email at the bottom of this form
Parent #1 Phone: *
Parent #2 Name:
Parent#2 Email:
Parent #2 Phone:
Persons to contact in the case of emergency when parent or guardian cannot be reached:
Name
Phone Number
Name
Phone Number
Child's doctor or clinic name
Doctor/clinic phone
Please list allergies, special medical or dietary needs, or other areas of concern
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