SOKC is on August 1-3 @ 6-8:30pm
For questions contact Megan Keith (meg.keith@gmail.com)

Child's Name:

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* 1. Child's Name:

Child's Age:

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* 2. Child's Age:

Gender:

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* 3. Gender:

Select the age appropriate category for your child:

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* 4. Select the age appropriate category for your child:

Select your child's activity: *(6-12 yrs only)

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* 5. Select your child's activity: *(6-12 yrs only)

Guardian(s) Name:

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* 6. Guardian(s) Name:

Guardian(s) Email & Phone:

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* 7. Guardian(s) Email & Phone:

Emergency Contact:

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* 8. Emergency Contact:

How did you hear about Summer One Kids Camp?

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* 9. How did you hear about Summer One Kids Camp?

Terms of Agreement

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* 10. Terms of Agreement

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