In Person Summer Camp Waitlist Form
Child's Full Name
First Name
Last Name
Date of Birth
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Month
-
Day
Year
Date
Child's Age
Child's School
Which STEAM Camp Session would you like to be waitlisted for?
June 7th - June 25th (6-8 year olds)
July 12 - July 30th (9-12 year olds)
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Family Information
Guardian
Email
[email protected]
Parent Name
First Name
Last Name
Home Phone
-
Area Code
Phone Number
Work Phone
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Other children in family
Configurable list
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Additional Information
Notes
Submit
Should be Empty:
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