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Registration for Summer Adventures
Summer Adventures are to take place August 5th- 9th and 19th -23rd
Ages 5-12 Welcome!
Radville Rec Center
* Indicates required question
Email
*
Record my email address with my response
Childrens names:
*
Please include ages
Your answer
Participants Date of Birth
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Participants Date of Birth
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Participants Date of Birth
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Address
*
Your answer
Parent/ Guardian
*
Your answer
Parent/ Guardian contact
*
Phone # (home/ cell)
Your answer
Parent/ Guardian contact
*
Email
Your answer
What week will your child be attending?
*
Week 1 - August 5th - 9th
Week 2 - August 19th - 23rd
Required
Does your child have any health concerns or conditions that may affect their ability to participate in Summer Adventures?
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Please specify allergies/medical conditions, and the action to be taken by staff and by child.
No
Other:
i hereby acknowledge that Summer Adventures runs from 9:00am - 3:00pm. Staff employed by the Radville Regional Park will not be responsible for supervision outside of these hours.
Yes
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How will your child be travelling to and from summer adventure by?
*
(Parent/ Guardian pickup, biking, walking etc.)
Your answer
is there anything we missed? Thanks for registering for Summer Adventures!
Your answer
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