Summer Camp Registration 2024
Acton Academy Kingwood
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Email *
Camper Name *
Camper Birthday *
Weeks Camper Will Be Participating?  *
Required
Life-Threatening Allergies (please specify)? *
Behavioral & Learning Differences (i.e., autism, dyslexia, ADHD, other)? *
Parent Name *
Parent Phone Number *
Emergency Contact (other than parent) *
Emergency Contact Phone Number? *
Individuals Authorized for Pick Up? *
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