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2024 Summer Enrichment Sign-Up
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* Indicates required question
Child's First Name:
*
Your answer
Child's Last Name :
*
Your answer
Child's Date of Birth:
*
MM
/
DD
/
YYYY
Mother's Name:
*
Your answer
Mother's Phone Number:
*
Your answer
Father's Name:
*
Your answer
Father's Phone Number:
*
Your answer
My child requires a booster seat:
*
Yes (all children under 8 years of age are required to be in a booster seat)
No
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