Kiddy Camp: Ages 2-3

Address*

Emergency Contact*
First NameLast Name
Emergency Contact Phone Number*
Area CodePhone Number
Relationship to Emergency Contact*
Payment
Sign up for full 3 Weeks / Discounted rate of $750
YesNo
Sign up Weekly / $275 per week
Week 1: July 5 -July 9Week 2: July 12 - July 16Week 3: July 19 - July 23
Add Hot Lunches / $25 per week
Amount of weeks
Interested in After Care?
YesNo
Total
$0.00

Payment

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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