Summer Kids Camp 2018
Newbury Park High School
Child's Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age *
Your answer
Sex *
Name of Parent/Legal Guardian *
Your answer
Address, City, State & Zip code *
Your answer
Parent/Guardian Phone Number *
Your answer
Email Address (primary use of communication) *
Your answer
Emergency Contact & Phone Number *
Your answer
Dancers T-shirt Size *
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