* Siblings registration may be done on one form. You can enter more than one name / DOB in the fields below.

Please provide a current email address. This will be used solely for invoicing and program communications.
Please check the first week you're interested in. If you want to sign up for more weeks, please add them in the comments below.
Please specify if your child carries an EpiPen.
We would like to know if your child has any learning difficulties and/or an IEP. This way we can make sure she is getting the amount of attention needed
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