Clone of Summer Program Registration Form 🌞

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Child's Full Name* This field is required.

First Name

Last Name

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Age of Student as of June 1* This field is required.

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Parent Email Address* This field is required.

example@example.com

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Parent/Guardian Name* This field is required.

First Name

Last Name

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PAYMENT - You will notice that each week will have the same theme. However, each week will have three different options: M-F, Monday, Wednesday, and Friday ONLY, or Tuesday and Thursday ONLY. Please make sure you are selecting the correct number of days each week. Also, please note: field trips will likely be on Fridays or Mondays as we will have enrichment classes (art, music, STEM, etc.) the other days.

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WEEK 8
Monday, July 20 - Friday, July 24
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WEEK 8 M/W/F ONLY
Monday, July 20 Wednesday, July 23 Friday, July 25
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WEEK 8 T/TH ONLY
Tuesday, July 21 and Thursday, July 23
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Credit Card

First Name

Last Name