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Summer Camp- Book your Weeks
Step Up Scholarship
Registration Form
REGISTRATION RORM
Parent Last name
*
Parent First name
*
Phone
Address
Email
Child Full Name
*
Child's Date of Birth
Month
Day
Year
Summer Camp - Weeks Attending (even those you haven't submitted the payment yet)
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Homeschool Club - From August 1st to May 30th. List the Months you are attending.
Afterschool Club - From August 1st to May 30th. List the Months you are attending.
Desired Drop-off and pick-Up time
*
Full Name and phone of Authorized adults for PickUp
Allergies
*
Emergency Contacts
*
Submit
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