Talk To Me Summer 2022 Camp Registration Form

Talk To Me Summer Camp Registration 2022

As I Plant This Seed
SUMMER CAMP WILL BE HELD

JUNE 27th - AUGUST 19th, 2022

Additional $15 a week or early morning care from

7:00 a.m to 9:00 a.m & 3:00 p.m to 5:30 p.m

UPON REQUEST

9:00 a.m to 3:30 p.m daily (weekdays)

located at The Treehouse AIPTS

3959 North 9th Street

Philadelphia, PA. 19140

For more info contact

Ryan @ (215) 278-5692

Mrs. Kitty @ (267) 939-0816 (Text the word CAMP)
FULL BALANCE MUST BE MADE AND PAID IN FULL

BEFORE CAMP START DATE ON

JUNE 27TH, 2022

(NO EXCEPTIONS)

AGES 5YRS - 12YRS

THERE ARE ONLY 25 SPOTS , FIRST COME , FIRST SERVE

BREAKFAST , LUNCH & SNACKS

WILL BE PROVIDED

Trips: Amusement Parks, Bowling, Skating and much more
CHILD INFORMATION:
Child Name *

First Name Last Name
Birth Date *

Month Day Year
Grade *
T-Shirt Size *
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
E-mail *
MEDICAL INFORMATION
Physician Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Medical Concerns... Please list food allergies if any
Phone Number *

Area Code Phone Number

My Products *

Should be Empty: