HCA SUMMER PROGRAM
DATES: June 6 - July 29 (closed July 1 and 5)
 Monday - Friday  7:30 am - 5:30 pm

FEES: JUNE $600     JULY $600   REGISTRATION FEE $75
Payments are due on the 1st of each month!
**sibling discount  available

AGES: 5-13    
   
FOR MORE INFORMATION
CALL LATASHA AT 631-3835 or email LATASHAMQUEEN@GMAIL.COM



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Email *
Student Name (1) *
Student Name (2)  (If enrolling multiple students) *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Please list the people that are approved to pick up your student and their phone number. *
Please list any allergies your students has below. *
Does your student take any medications we should know of? If yes, Please explain at the end of this form. *
CLICK THIS LINK TO PAY YOUR $75 NON-REFUNDABLE ENROLLMENT FEE! https://www.paypal.com/paypalme/heritagechristianaca
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Do you agree to pay the fees associated with the 2022 summer camp by the 1st of each month? *
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