Highland Park Broadway Bound Camp
Noon-3:00p each session

6/19-6/30
7/3-7/14
7/17-7/28
7/31-8/11

$275 Broadway Bound & Half Days
$150 Deposit due with registration

Student Name
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Grade (Fall)
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Parent/Guardian Contact 1
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Phone number (cell)
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Phone number (home)
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Phone number (work)
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Parent/Guardian (Contact 2)
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Phone number (cell)
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Phone number (home)
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Phone number (work)
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Student's Doctor's Name and Number
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Medical Conditions Staff should be aware of
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