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Register for 'CHILL Summer 2013 Day Camp'

Back

Please fill out the form below to register. Once you have registered, you will be given the option to pay for the class online.

First Name:
Last Name:
Email Address:
Phone Number:
Address:
City/State/Zip:
Event Attending:
	$125.00 - Deposit Per Camper (type in your own payment amount) - Full Summer Rate* (type in your own payment amount) - Multi Child Rate (1st child pays full sumer, 2nd p* $125.00 - Weekly Rate* (type in your own payment amount) - Additional T-Shirts Cost $6 each*

	I have read, understand, and agree with the Liability Waiver, Release, & Indemnity Agreement

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