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* 1. First and Last Name of Main Contact

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* 2. Email Address

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* 3. Phone Number 

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* 4. Name and And Age of each child attending Day Camp

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* 5. Which weeks will your child(ren) be attending. 

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* 6. The weekly rate is $200. Do you need a partial scholarship for your child(ren) to attend.

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* 7. If your child has special needs or requires speical accomindations, please list those needs. 

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* 8. Are you interested in an After School Program in the Fall? 

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* 9. What is the TShirt size of your child(ren)

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