Summer Camp RegistrationJune 12-30 2023 Child's Name * First Name Last Name Child's Date of Birth * MM DD YYYY Additional Child's Name First Name Last Name Child's Date of Birth MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Father's Name * First Name Last Name Father's Cell Phone * (###) ### #### Father's Email * Mother's Name * First Name Last Name Mother's Cell Phone * (###) ### #### Mother's Email * Thank you for your registration. Edmalia will be in touch regarding payment through FACTS.
