Summer Day Camp Interest Form

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Parent/Guardian First Name
Parent/Guardian Last Name
Child 1 First Name
Child 1 Last Name

Child 1 Age	Less than 5 but at least 4 Years 9 Months 5 6 7 8 9 10 11 12

Child 1 Grade For Upcoming School Year	K 1 2 3 4 5 6 7 8


Child 2 First Name
Child 2 Last Name

Child 2 Age	Less than 5 but at least 4 Years 9 Months 5 6 7 8 9 10 11 12

Child 2 Grade For Upcoming School Year	K 1 2 3 4 5 6 7 8


Child 3 First Name
Child 3 Last Name

Child 3 Age	Less than 5 but at least 4 Years 9 Months 5 6 7 8 9 10 11 12

Child 3 Grade For Upcoming School Year	K 1 2 3 4 5 6 7 8

Email

Phone
Camp Of Interest (check all that apply)	Grades K-2 Grades 3-5 Grades 6-8
Question/Comment

Summer Day Camp Interest Form

Hours

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