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Let's get started with a little information about the primary parent/guardian that should receive our communications.

 
Parent/Guardian Name: *

First & Last
 
Street Address: *

 
City: *

 
State: *

 
Zip Code: *

 
Phone Number: *

Please use a number where we can reach you during camp hours.
 
Thanks! Now, please enter your emergency contact.

 
Name: *

First & Last
 
Phone Number: *

 
Relationship to Child: *

 
Thanks for the info! Now, who is joining us at Treasure Quest Half-Day Camp?

 
Child's Name: *

First & Last
 
Gender: *


 
Date of Birth: *

 
Incoming Grade: *

Fall 2018

 
Allergies/Medical Info:

Please include anything that would be helpful for us to know in the care of your child.
 
Would you like to pay now or later? *


 
You have chosen to pay later - sounds great!

Please note that payment for each week is due on the Monday that camp begins.
 
Select Week: *


 
Select Week: *


 
You chose: {{answer_irH9aRF86JkF}}, which comes out to a total of {{var_price}} *

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Thank you for registering!
We are very excited for this summer - see you at camp!
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