Summer Buddies Registration 2022
This form is for registering your child/children for our 2022 session.  Please complete all that applies and feel free to email us if you have any questions that come up as you fill it out.

If you are applying for funding through the My Turn Program please send us an email after you submit so we can get you an invoice ASAP to get that process going.
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Child's Name:
Gender *
Age: *
Child 2's Name:
Gender *
Child 3's Name:
Gender *
Parent/Caregiver Name(s) *
Parent/Caregiver(s) phone (Please enter all important numbers,  i.e. Mom, Dad, Grandma, etc) *
Parent/Caregiver(s) Email Address (Please any/all email address' you'd like to receive correspondence,  i.e. Mom, Dad, Grandma, etc) *
Home Address: *
School (and program if applicable)  your child last attended: *
Does your child have a disability?  If yes, please provide details. *
I know I am registering for the following dates/times *
Anticipated Missed Dates:
Payment Type you intend to use for the full tuition- You must pay the registration fee at this time to reserve a space for your child *
To complete your registration, please send the $100 registration fee payment to paypal using our email address                                                     Please enter your name below as a signature to indicate the registration fee has been paid. *
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