Family Name*Home Phone*Mother's CellphoneFather's CellphoneEmail* Home Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Child Number 1Childs Name*Grade As Of Year 2018-2019*Please SelectGirls NurseryGirls KindergartenGirls Pre1aGirls 1st GradeGirls 2nd GradeGirls 3rd GradeGirls 4th GradeGirls 5th GradeGIrls 6th GradeGirls 7th GradeBoys NurseryBoys KindergartenBoys Pre1ABoys 1st GradeSchool*Please check with your child's school to confirm their days off before enrolling! You will be required to pay for the days you select.Full Program August 26-29 Full Program August 26-29 Monday August 26 Monday August 26 Tuesday August 27 Tuesday June 27 Wednesday August 28 Wednesday August 28 Thursday August 29 Thursday August 29 Price Price: $0.00 Does your child have allergies or health issues that we need to know about?YesNoPlease Specify*Please fill out a new form for each additional child. Thank you!TotalBy clicking submit, you acknowledge that your childs slot has been reserved, and you agree that you will be held liable to pay in full, regardless of whether they attend or not, unless you cancel within 24 hours of SUBMITTING THIS APPLICATION. You can cancel by texting us at 234-Fun-Fun4. If you do not receive your confirmation within 24 hours, please email us at firstname.lastname@example.org to let us know.By clicking submit, you acknowledge that your child's slot has been reserved, and you agree that you will be held liable to pay in full, regardless of whether they attend or not, unless you cancel within 24 hours of submitting this application.