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Summer Camp 1 Day Reg

Summer Camp 1 Day per Week
  • Student's Basic Information
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  • First Name*
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  • Last Name*
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  • Age*
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  • Birthdate*
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  • Home Address
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  • Street*
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  • City*
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  • State*
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  • Zip*
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  • Guardian Information
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  • Guardian's Name*Full Name
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  • Emergency Phone*For emergency contact only.
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  • Guardian Email **a valid email address
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  • Secondary Contact
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  • Secondary Emergency Contact Name*
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  • Emergency Phone*
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  • Other Information
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  • Does your child have any allergies?*
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  • Day Selection
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  • Day your child will be attending*Select the day that your child will be attending summer camp.
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  • Conditions and Terms
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  • I understand that once summer camp fees are paid they are non-refundable, and until fees are paid in full my child’s registration is not complete.*be frank!
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  • This form is legally binding, if you agree, you certify that all the information provided herein is correct. Providing false information could result in termination of preschool services. You also agree to notify Smart Cookie Academy of any changes to any part of the information provided above.*
    Yes, I agree.
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