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45965 Notes Blvd. Suite 120 Sterling, VA 20166 (703)7720480 Summer 2013 Program Enrollment Form Date: Child's Name: First Middle Last Nickname Date of Birth: Age: Gender: Parents Name(s): Address:
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Read the instructions carefully before starting.
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Gather all the necessary information such as personal details, emergency contacts, and medical history.
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Who needs summer program enrollment form?

01
Students who wish to attend a summer program.
02
Parents or guardians who are enrolling their child in a summer program.
03
Educational institutions organizing summer programs.
04
Summer camp organizers or administrators.
05
Any individual or organization involved in the management or coordination of summer programs.
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The summer program enrollment form is a document that students or parents need to fill out in order to register for a summer program.
Students or parents who wish to enroll in a summer program are required to file the summer program enrollment form.
To fill out the summer program enrollment form, students or parents need to provide information such as personal details, program selection, emergency contacts, medical information, and any other required information.
The purpose of the summer program enrollment form is to collect necessary information from students or parents who wish to participate in a summer program.
Information such as personal details, program selection, emergency contacts, medical information, and any other required information must be reported on the summer program enrollment form.
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