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Children Enrichment Program
Winter Camp
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Children Enrichment Program &
Winter Camp
Application Form
Parent First Name
*
Parent Last Name
*
Email
*
Child First Name
*
Child Last Name
*
Child Age
*
The name of the school that the child attends
*
Which program would you like to enroll?
*
Monday ~ Friday Afternoon
Pro - D Day
Winter Camp
Does your child have any specific allergies, medical diagnosis or others
*
For Monday ~ Friday afternoon program, please choose your preferred start date
*
Apply
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