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2023 Summer Day Camp Pre-Registration Form
Bernice Rose
2023-05-16T15:21:28+00:00
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Step
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Child's Information
Child's Name
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First
Last
Child's Date of Birth
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Child's Age
*
Does your child have allergies, diet restrictions, medical conditions or exceptionalities we should be aware of? If yes, please explain:
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Parental/Guardian Information
Parent/Guardian Name #1
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First
Last
Preferred Phone #
*
Email
*
Next
I would like to book the following week(s) in the Humber Community YMCA's 2023 Summer Day Camp Program (Reminder: Camp cost $100/wk - Fees must be paid, in full, at the YMCA Front Desk by cash or debit on the Wednesday prior to your child attending camp)
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July 3 - 7
July 10 - 14
July 17 - 21
July 24 - 28
July 31 - Aug 4
Aug 7 - 11
Aug 14 - 18
Aug 21 - 25
I understand and agree that this submission does not guarantee my child a spot in the Humber Community YMCA's 2023 Summer Day Camp Program until I receive a confirmation phone call from a YMCA Staff Person. After receiving my call, I will proceed to pick up my registration package at the YMCA front desk and pay my $20 registration fee.
*
I agree
Name
*
First
Last
Date
*
Submit