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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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