MVA's Summer Enrichment Program
We are excited to offer a new Summer Camp series for 2019
​Welcoming students of all ages for our 4-week program.
STUDENT NAME *
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Grade in 2019/2020 *
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PROGRAM CHOICE *
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EMERGENCY INFORMATION
PARENT / GUARDIAN NAME *
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PHONE NUMBER: *
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ADDRESS: *
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EMAIL: *
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2nd PERSON TO CONTACT: *
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PHONE: *
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LIST ANY ALLERGIES OR MEDICAL CONDITIONS WE SHOULD BE AWARE OF:
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LIST PEOPLE AUTHORIZED TO PICK UP: *
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