Summer Camp 2019- Enrollment Form
Email address *
Child's First Name *
Child's Last Name *
Child's Date Of Birth *
MM
/
DD
/
YYYY
Child's Gender *
Any allergies/health concerns? *
Do You Have A Sibling? *
Name of Sibling(s)
Sibling's Date of Birth
MM
/
DD
/
YYYY
Sibling's Gender
Any allergies or health concerns? (Sibling)
Parent's Name *
Parent's Phone Number *
Home Address *
Emergency Contact *
Enrollment Type (8% Early bird discount expires 12/7) *
Will child be participating in the recital on 30/8? *
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