2020 Summer Camp Registration Form
Student's First Name *
Student's Last Name *
Birth Date
MM
/
DD
/
YYYY
Select Camp & Date
Full Day (9am - 3pm)
Half Day (morning: 9am - 12pm)
Half Day (afternoon: 12pm - 3pm)
Japanese 6/15 ~ 6/19
Japanese 6/22 ~ 6/26
Japanese 6/29 ~ 7/03
French 7/13 ~ 7/17
French 7/20 ~ 7/24
Clear selection
Guardian's First Name *
Guardian's Last Name *
Email Address *
Phone Number *
Home Address
Emergency Contact Person #1 Name *
Phone Number *
Emergency Contact Person #2 Name *
Phone Number *
Any Allergies and Medical Conditions
Submit
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