Child Information
First Name
Last Name
Date of Birth
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
Home Phone
Address
Postal Code
Parent Information
First Name
Last Name
Work Phone
Cell Phone
E-mail
Parent Information
First Name
Last Name
Work Phone
Cell Phone
Activity
Dates
Weekly Rate
All Stars Culinary Academy
July 3 - 6
$240
Together Everyone Achieves More
July 9 - 13
$240
Super Soaked Summer
July 16 - 20
$240
Artful Antics!
July 23 - 27
$240
Eureka! Scientist at Work...
July 30 - August 3
$240
Anything Goes!
August 7 - 10
$240
Furry, Scaly, Feathery... Awesome Animals!
August 13 - 17
$240
Around the World In 5 Days, a Celebration of Nations
August 20 - 24
$240
Game Show Mania!
August 27 - 31
$240
All of July
All of August
Total
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