KidVenture Registration Form
Please complete and submit to register your child for the KidVenture Summer Program. Admission to the program will be processed in the order that registrations are received. Priority will be given to those registering for the full summer program.
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KidVenture Summer Day Camp
Lucia Terrasas *
4192700486 *
Isaiah Alexander *
01/26/2014 *
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2nd *
Please list any allergies or medical conditions *
My child will be attending: *
If "Specific Days" or "Weekly" was indicated, please specify
Authorized Pick Up/Emergency Contact Name *
Relationship to Child *
Authorized Pick Up/Emergency Contact Phone *
Authorized Pick Up/Emergency Contact Name *
Relationship to Child *
Authorized Pick Up/Emergency Contact Phone *
Submit
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