THELEARNINGDOOR Email Marketing -

Enroll: 2023 Summer Camp

Parent First and Last Name

Child's Full Name

Email *

Phone *

Address *

Emergency Contact #1 Name *

Emergency Contact #1 Phone *

Emergency Contact #2 Name

Emergency Contact #2 Phone

Student's Birthday

Grade 2022/23 *

Allergies *

T-Shirt Size *

I give permission for my child's photo to be taken

I give permission to use my child's photo on The Learning Door's Social Media

I have read and agree to The Classroom Handbook Terms & Conditions

Yes *