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Summer Camp Registration

Parent or Guardian First Name

Parent or Guardian Last Name

Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Student's Name

Student's Date of Birth

Student's Grade for Fall 2025

Medication or Allegies

Student's Name - 2nd Child

Student's Date of Birth

Student's Grade for Fall 2025

Medication or Allegies

Student's Name - 3rd Child

Student's Date of Birth

Student's Grade for Fall 2025

Medication or Allegies

Registration

$45

$90

$135

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