First & Last Name * First Name Last Name Email * Child's First & Last Name * Child's DOB * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Number * Weeks attending * Please check the weeks you would like to attend Week 1- 8/1- 8/5 week 2 8/8-8/12 week 3 8/15-19 week 4 8/22-26 Few days a week or if it is half day 9:00-11:30 AM option, please list below Specific days List Allergies * Thank you!
