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2018 Summer Adventure Camp

June 19-23

June 26-30 SESSION FULL

July 10-14

July 17-21

July 24-28

List all allergies and/or health concerns

Child's Interests

Birthday

How did you hear about us?

Newspaper

Internet search

Direct mailer

Friend

Payment options (checks are preferred)

Check (mail to 531 Spring St. Batavia, IL 60510)

Credit card (an invoice will be sent via email requesting payment)

Names and current grades of siblings

Spouse or emergency contact cell number

Spouse or emergency contact email address

Parent/Guardian Email Address

Parent/Guardian Name

Parent/Guardian Cell Number

Mailing Address

Child's Name

Choose

Male

Female

Spouse or emergency contact name

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