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This form is for Children's Program.

Children’s Program:   which will run full-time Saturday and Sunday and will engage children aged 4 – 9 in creative activities, including arts/crafts, painting, recreational games, etc. For registration, please
Required * {Please remember to fill out ALL REQUIRED FIELDS.}

Parent's First Name: *

Parent's Last Name: *

Child's First Name:*

Child's Last Name:*

Email Address:*

Phone Number:*

City:*

Gender:*

Age:*

Emergency Contact Name:*

Emergency Contact Number:*

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