Registration for Children's Day Camps
Please fill out this form to register your child for one of Safe Haven's Day Camps
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Child's First Name
Child's Last Name
Child's Date of Birth
MM
/
DD
/
YYYY
Parent/Guardian First Name
Parent/Guardian Last Name
Phone Number
Email
Address
Please list any of your child's allergies or dietary restrictions
I give consent for my child to have their picture taken for promotional purposes only
Clear selection
Please check off the boxes below to indicate which day camps your child will attend. You are welcome to come to them all!
We Would Love To See You There!
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