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Spring Break Registration
Please fill out form completely.
Fields marked with * are required.
Child Name:
*
Child Age:
*
Child's DOB:
Mother/Guardian Name:
*
Mother/Guardian Email:
*
Mother/Guardian Phone Number:
*
Father/Guardian Name:
Father/Guardian Email:
Father/Guardian Phone Number:
Spring Break Week Selection: (Check all that apply)
*
Week 1
Spring Break Program: (Select One)
*
Spring Break - Full ($145 /week)
Spring Break - Daily ($37.50 /day)
Year Round Program ($100/week)
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