Oom Yung Doe Kids Day Camp, Summer 2019
Application Form
If interested, complete and submit this form and an Instructor will contact you to complete your registration.
Child name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Parent Name *
Your answer
Address
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email
Your answer
Select Session(s): *
Required
If enrolling a second child, please complete:
Second Child Name
Your answer
Second Child Date of Birth
MM
/
DD
/
YYYY
Select Session(s):
If enrolling a third child, please complete:
Third Child Name
Your answer
Third Child Date of Birth
MM
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DD
/
YYYY
Select Session(s):
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