Paradise Place Summer Adventure Day Camp- Club Paradise- Registration Form
To reserve your child’s place in our program, please fill out this registration form. Please return a check for the registration fee to the school upon registering.
Would you like traditional scheduling or create your own schedule? *
Name of Child *
Your answer
Child's Date of Birth *
Your answer
Parent(s) First Name *
Your answer
Parent(s) Last Name *
Your answer
Physical Address *
Your answer
Mailing Address *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Fathers Social Security Number
Your answer
Mothers Social Security Number
Your answer
Physicians Name and Phone Number *
Your answer
Emergency Contact and Phone Number *
Your answer
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