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Fulton County Summer Program 2022 Pre-Registration Form

Please take a moment to pre-register for Tommy Nobis Center's EYES Summer Program. We will be in touch to continue the registration process as we get closer to the start of Summer Camp.

We are so excited to have students in June! **We will only be offering Session I**

Our theme this year is: This is me! We will celebrate each and every student for who they are and how they make this world a better place!


Camp will be held at Eastside Church 468 Moreland Avenue, SE, Atlanta 30316

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* 1. Student Name

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* 2. Student Address

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* 3. Student Phone Number

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* 4. Student Email Address

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* 5. Student Date of Birth

Date

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* 6. Student's School

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* 7. Parent/Guardian Name

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* 8. Parent/Guardian Phone Number

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* 9. Parent/Guardian Email Address

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* 10. Preferred Session

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* 11. Student T-shirt Size

Thank you for completing this form! We look forward to seeing your son or daughter this Summer at Eastside Church, 468 Moreland Avenue, SE, Atlanta 30316!
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