Event Registration -Summer camp July 2024

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Event Timing: July 8th-11th, 2024
🙌Please DO NOT register if you are not sure the child will attend as all registrations will be expected to be paid in full.
Event Address: 12123 Kanis Rd., Little Rock, AR. 72211
Contact us at (312) 900-5265 or sundayschool@madinainstitute.us

First Name *

Last name *

Email *

Date of birth *

Parent first and last name

What days will you attend? *

Week 1 -08th to 11th of July

Week 2 -15th to 18th of July

Other:

Required

Emergency phone number *

Dietary restrictions or allergies *

I understand that I will have to pay $150 upon arrival -$120 siblings- if you paid online please have the proof. *

Yes

Required

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