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