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School Programs
In-class Programs
Homeschool Programs
Youth Groups Programs (BSA, GS, Campfire USA)
Field Trips
Summer Camps
     

SUMMER PROGRAMS REGISTRATION

 


Parents Contact Information
Name:
Last Name
Address:
Phone
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Cellphone
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Emergency Contact    
Name
Last Name
Phone
   
       
Student 1
Name:
Age:
Grade Level:
 



In the space below include any allergies or medical conditions that we need to be aware off.
 
 
 
       
       
Student 2
Name:
Lastname
Age:
Grade Level:
 



In the space below include any allergies or medical conditions that we need to be aware off.
 
 
 
     
 


 

115 Lameraux Road ∙ Winter Haven, Florida 33884 (863) 259-8497