Leap of Joy Summer Camp 2017 Application
LEAP OF JOY THEATER & DANCE CAMP JULY 17-21 AND 24-28 2017
9-3:30 MONDAY - FRIDAY (SWIMMING SESSION ON FRIDAY)
at THE HIGH ROAD, 700 DAWSON RD

LEAP OF JOY WILL PROVIDE LUNCH FOR AN ADDITIONAL $6 PER DAY
ALL SNACKS WILL BE PROVIDED AND INCLUDED IN TUITION.

1 WEEK: $225
2 WEEK: $400
2ND CHILD: $168 1 WEEK
$300 2 WEEKS

*SCHOLARSHIPS ARE AVAILABLE , PLEASE SELECT THIS OPTION.

Email address *
CHILD’S NAME *
Your answer
CHILD'S AGE *
Your answer
2ND CHILD'S NAME (IF APPLICABLE)
Your answer
2ND CHILD'S AGE (IF APPLICABLE)
Your answer
PARENT'S NAME *
Your answer
ADDRESS *
Your answer
PHONE (MOBILE) *
Your answer
PHONE (WORK) *
Your answer
EMAIL *
Your answer
EMERGENCY CONTACT: NAME/PHONE/RELATIONSHIP *
Your answer
DIETARY RESTRICTIONS *
Your answer
ALLERGIES *
Your answer
PHYSICAL DISABILITIES *
Your answer
CAN YOUR CHILD SWIM? *
LUNCH *
Required
SELECT WEEK(S) ONE(1) CHILD *
Required
SELECT WEEK(S) 2ND CHILD
PLEASE TYPE FULL NAME OF PARENT/GUARDIAN SIGNING OFF ON THIS APPLICATION. CHILD WILL NOT BE CONFIRMED UNTIL PAYMENT IS RECEIVED. YOU WILL BE CONTACTED SHORTLY AFTER SUBMISSION. *
Your answer
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