Live4Love Summer Day Camp

2019 Summer Day Camp Interest

We thank you for your time in completing this survey. Every little bit of information helps us to plan for Summer 2019.

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* 1. To be entered in a draw to receive a free week of day camp for Summer 2019, please fill out the following information:

Name

Email Address

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* 2. What weeks are you interested in sending your child(ren)
*PLEASE CHECK ALL WEEKS THAT APPLY

	WEEK 1: JUL 15-19	WEEK 2: JUL 22-26	WEEK 3: JUL 29 - AUG 2	WEEK 4: AUG 6-9	WEEK 5: AUG 12-16
1 CHILD	1 CHILD WEEK 1: JUL 15-19	1 CHILD WEEK 2: JUL 22-26	1 CHILD WEEK 3: JUL 29 - AUG 2	1 CHILD WEEK 4: AUG 6-9	1 CHILD WEEK 5: AUG 12-16
2 CHILDREN	2 CHILDREN WEEK 1: JUL 15-19	2 CHILDREN WEEK 2: JUL 22-26	2 CHILDREN WEEK 3: JUL 29 - AUG 2	2 CHILDREN WEEK 4: AUG 6-9	2 CHILDREN WEEK 5: AUG 12-16
3 CHILDREN	3 CHILDREN WEEK 1: JUL 15-19	3 CHILDREN WEEK 2: JUL 22-26	3 CHILDREN WEEK 3: JUL 29 - AUG 2	3 CHILDREN WEEK 4: AUG 6-9	3 CHILDREN WEEK 5: AUG 12-16
4 CHILDREN	4 CHILDREN WEEK 1: JUL 15-19	4 CHILDREN WEEK 2: JUL 22-26	4 CHILDREN WEEK 3: JUL 29 - AUG 2	4 CHILDREN WEEK 4: AUG 6-9	4 CHILDREN WEEK 5: AUG 12-16
5 CHILDREN	5 CHILDREN WEEK 1: JUL 15-19	5 CHILDREN WEEK 2: JUL 22-26	5 CHILDREN WEEK 3: JUL 29 - AUG 2	5 CHILDREN WEEK 4: AUG 6-9	5 CHILDREN WEEK 5: AUG 12-16

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* 3. Would you require before & after care?

Before Care

After Care

Both

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* 4. If you have additional comments please feel free to let us know below.