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Grade finished 1. Child s first name MI Last Gender Date of Birth Home Address City State and ZIP Home Phone Cell Phone Please complete the upper part of this application as well as the back page with emergency contact information. Summer Camp Rates 9 00am until 12 00 noon Mon. through Friday Summer camp runs the weeks of June 13th-17th June 20th-24th Session 1 Water Wonders Science Session 2 Sizzling Hot Cooking 60 per week for ages 5-12 Please circle which camp s your child will attend...
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