2017 Imagination Camp Registration
Camp Selections
Camps listed are for Kindergarten-4th Graders
Choose the weeks you would like to attend. Individuals may register for any amount of weeks that they would like. If a week you would like is full, select the week to be placed on the waiting list.
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Your Information
Child's Name
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Child's Age
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Birthdate
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Gender
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Child's Grade
The grade they will be entering into in September 2017.
Child's School
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Does your child have any food allergies?
If yes, please list allergies.
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Parent/Guardian Name(s)
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Address
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City
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State
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Zipcode
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Daytime Phone (work, etc.)
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Cell Phone
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Email Address
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How did you learn about Yes! And...'s Summer Programs?
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About Your Child
What in the past year has affected your child the most?
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Does your child have an area of the arts that they are most interest in?
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What do you understand to be your child's greatest challenges?
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Their greatest strengths?
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What three words best describe your child?
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Additional Information
Check this box if you would like information on Camperships that are available.
Camerships are Yes! And...'s scholarship program. We DO NOT turn away a child because of an inability to pay full cost. You will be sent a short form to apply for a Campership with your registration confirmation.
Check this box if your child will need extended care.
We do offer before and after care, if needed. Before care is from 8am-9am and costs $6/day. After care is from 3pm-5pm and costs $12/hour.
Contact me about opportunities to volunteer.
It takes a village to make camp happen! If you are able to help us out for a couple of hours, we would greatly appreciate it!
Coupon codes or any other information
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