**WAITING LIST Clint's Reptile Academy

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**WAITING LIST Clint's Reptile Academy · Summer Camp

We are currently at maximum capacity for our Summer Camps! If you would like to be notified if positions open this summer, or would like to get on a waiting list for next summer, please complete the form below.

Thank you for your support. We are so excited!

Parent Name *

Parent Email Address *

Parent Phone Number *

Camper Name *

Camper Age *

Required

Preferred Date *

June 6, 7, 8

June 20, 21, 22

July 11, 12, 13

July 18, 19, 20

Required

Does your camper have any allergies? *

Does your camper want an exclusive Clint's Reptile Academy T-Shirt for an additional $19.99? *

Yes

What Size?

Youth XS (4)

Youth SM (6/8)

Youth M (10/12)

Youth L (14/16)

Adult S

Adult M

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By typing your name below you grant permission to Clint's Reptile Outreach LLC, Clint's Reptiles, Clint's Reptile Room, Leisha Laidlaw, and/or Clint Laidlaw to use any image photographs/videos/sound clips of your participating child for use in Media publications. Including but not limited to: Videos, Recruiting Brochures, Newsletters, Magazines, General Publications Website, Social Media and/or Affiliates
*

Questions or Concerns?

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