Libertyville Tween Film Camp
Tween Camp 4th -7th

Weekdays 9:00-3:00pm

6/26-7/7
7/10-7/21
7/24-8/4

$575 Two Week Tween Camps
$150 Deposit due with registration

Student Name
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Which Weeks?
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Grade (Fall)
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Parent/Guardian Contact 1
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Phone number (cell)
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Phone number (home)
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Phone number (work)
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Parent/Guardian (Contact 2)
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Phone number (cell)
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Phone number (home)
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Phone number (work)
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Student's Doctor's Name and Number
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Medical Conditions Staff should be aware of
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