2017 Addlestone STEAM Camp Registration
Please fill out the following information to complete Addlestone STEAM Camp Registration.
Guardian's Name: *
Your answer
Address: *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
#1 Participating Child's Name (Full Name) *
Your answer
#1 Participating Child's Date of Birth
MM
/
DD
/
YYYY
#2 Participating Child's Name (Full Name)
Your answer
#2 Participating Child's Date of Birth
MM
/
DD
/
YYYY
#3 Participating Child's Name (Full Name)
Your answer
#3 Participating Child's Date of Birth
MM
/
DD
/
YYYY
Please check all boxes in which your child(ren) will be participating in during the summer *
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