Your Child's Name:
Your Child's Grade:
Your Child's Age:
Your Name:
Your Email Address
Your Phone Number:
Street Address:
City, State, and ZIP:
Alternate Contact
and Phone Number
:
Please list any allergies or medical conditions that we should be aware of?
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FOR CHILDREN AGES 4 - 12
SUNDAY, AUGUST 7 TO
THURSDAY, AUGUST 11
6:30 TO 8:30 PM
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