Child's Date of Birth (must be 3 by August 31st) *
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DD
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YYYY
Child's Gender
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Parent/Guardian Name (1) *
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Email Address (1)
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Parent/Guardian Name (2)
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Email Address (2)
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Home/Cell Phone (Format: XXX-XXX-XXXX) *
Your answer
Street Address (must be a Needham resident) *
Your answer
Zip Code *
Primary Language *
Secondary Language
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Student profile *
Requested Session(s): Please rank all sessions you are interested in. If you are not interested in a session please leave it blank and do not include it.
4 Full Days
4 Half Days
3 Full Days
3 Half Days
First Choice
Second Choice
Third Choice
Fourth Choice
4 Full Days
4 Half Days
3 Full Days
3 Half Days
First Choice
Second Choice
Third Choice
Fourth Choice
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