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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*