• Are you requesting information for:

  Your Child

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  Make Required
  
  Your Child
• Which Program(s) are you interested in receiving information:

  After-School (grades K - 5)

  Day Camps (grades K - 8)

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  Make Required
  
  After-School (grades K - 5), Day Camps (grades K - 8)
• Participant First Name

  Participant Last Name
  

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  Make Required
• 2nd Participant First Name

  2nd Participant Last Name
  2nd Participant Birthday
  Add Another Participant
  
• Email Address

  

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  Make Required
• Mobile Phone
  

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  Make Required
• Mom's First Name

  Mom's Last Name
  

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  Make Required
• Dad's First Name

  Dad's Last Name
  

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  Make Required
• What specifically would you like you or your child to accomplish in our after school program?
  

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  Make Required
• Please check the benefits most important to you.

  Self-Confidence

  Self Esteem

  Respect

  Improved Behavior

  Physical Fitness

  Weight Control

  Strength & Flexibility

  Coordination

  Focus

  Self-Discipline

  Concentration

  Self-Control

  Burn Energy

  Leadership

  Fun!

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  Make Required
  
  Self-Confidence,Self Esteem,Respect,Improved Behavior,Physical Fitness,Weight Control,Strength & Flexibility,Coordination,Focus,Self-Discipline,Concentration,Self-Control,Burn Energy,Leadership,Fun!

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