Preschool Camp Registration

Parent's Name(*)
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Child's Name(*)
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Child's Birthdate(*)
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Which program are you interested in?(*)

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Please select the week(s) of camp that you are interested in:(*)

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Email Address(*)
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Best Contact Phone Number(*)
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How would you prefer to be contacted?

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Additional questions or comments that you might have.
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How did you hear about us?(*)

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Print Advertisement (please specify)(*)
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Online Ad or Directory Listing (please specify)(*)
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Other (please specify)(*)
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