Steampunk Summer Camp Registration
In order to attend Pirate Summer Camp, your child(ren) must be registered, and your registration fee must be paid by July 7. Registration is $150 for the first child, and $75 for each additional child. Before and after care costs $5 per session, per child (some exceptions may apply). Payment for Before and After Care will be accepted the day of service. Children are responsible for bringing their own peanut-free lunch each day. Members of First Unitarian Church, who volunteer, are eligible for a discount. Please contact
for more information.
Head of Household Information
Head of Household #1 First Name
Head of Household #1 Last Name
Head of Household #1 Relationship to Child
Head of Household #1 Adress
Street Address, City, State, Zip
Head of Household #1 Phone Numbers
Please indicate where the phone rings to (Home, Cell, Work)
Head of Household # 1 Email Address
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