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Day Camp Registration Form

Choose Your Own Adventure Day Camps!
For kids entering 1st grade - 5th grade

Date: July 20 - 24, 2009
Hours: 10am - 3pm (bring a sack lunch)
Cost: $5 per day

(Please note fields with an * are required.)

Parent Information

First name: *

Last name: *

Street: *

Apt/Unit:

City: *

State/Province: *

Email Address: *

Phone 1: *

Phone 2:


Participant Information

First Name: *

Last name: *

Choose one activity for each day

Monday *
Adventure Seekers
Crafty Kids
Not Participating on Monday

Tuesday *
Just for Kicks (i.e. Soccer)
Art Studio
Not Participating on Tuesday

Wednesday *
Mad Science
Performing Arts
Not Participating on Wednesday

Thursday *
Photo Journalism
Chef for a Day
Not Participating on Thursday

Friday *
Hoops (i.e. Basketball)
Making Trackz (Recording Studio)
Not Participating on Friday

If you would like to add another participant please complete & submit this form for each child.