Registration Form
July 16, 2018 - July 27, 2018
Afternoons from 1:00 pm to 5:00 pm
Waddell Elementary School Gymnasium
Reach @ Camp Play
Yoga, Cooperative Games and Community Service Camp
Camper's Name *
Your answer
Camper's Birthdate *
MM
/
DD
/
YYYY
Parent/Guardian Email *
Your answer
Address *
Your answer
Parent/Guardian Phone Number *
Your answer
What weeks will he/she attend? *
If your child is attending FAIR, would you like your child to be met for lunch and walked to REACH? *
Is your child allergic to anything? *
If yes, please explain.
Your answer
Does this child have special needs? *Programs are provided for people of all abilities. If there is need for reasonable modification, please answer YES and speak to a directress prior to the start of the camp. Each request will be assessed thoughtfully.
If yes, please explain.
Your answer
Please note that in order to reserve your space a non-refundable deposit of 50% of the tuition is due upon enrollment confirmation. Please choose either option: *
I would like to give $____ towards the Scholarship fund to support another camper.
Your answer
I would like my child to be considered to receive from the Scholarship fund.
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