Thursday October 19 , 2017
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DAY CAMP PREREGISTRATION FORM
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* Required information.
First and Last Name of Parents/ Guardian *
Street Address: *
City, State, Zip Code: *
Name and age of child participating: *
Name and age of additional child attending:
Name and age of additional child attending:
Any additional concerns or questions:
Contact number: *
Email Address: *
Please enter the session or date your child or children will attend. *

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