Online Summer Registration Form 2020
To register yourself or child for summer classes, camps, or workshops, please complete the form below or download the printable form and mail it or drop it off at our office . Please complete this form separately for each student. Parents or legal guardian must complete the form for students under the age of 18.
Email address *
STUDENT INFORMATION
Student's Name: *
Student's DOB: *
Parent/Guardian Name: *
Street Address:
City, State, Zip:
Daytime Phone Number:
Evening Phone Number:
Any medical conditions or allergies? *
Emergency Contact #1 Name: *
Emergency Contact #1 Phone: *
Emergency Contact #2 Name:
Emergency Contact #2 Phone:
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