School Holiday Program Registration
Register your child for the holiday activities and provide the required details.
Participant's Full Name
*
First Name
Last Name
Participant's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please select the program(s) you wish to register for
*
Sports Camp
Art & Craft Workshop
Science Discovery
Drama & Performance
Other
Please list any allergies, medical conditions, or special needs
Register
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