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Soap Recipe Summer Program Registration Form

Student Information

Gender
Age (only 7-12 years of age accpeted)
Current Grade (going into after summer)
Multi-line address

Parent/ Guardian #1 Information

Multi-line address

Parent/ Guardian #2

Multi-line address

Emergency Contact (other than parent/ guardian)

How will your child get picked up after the program ends?

Medicals will be done in person at the Office

One Week of Summer Camp
One Week of Summer Camp
Registration Fee
$70
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