Transcription of 2018 Summer Program Registration - cvclubs.org
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2018 Summer Program Registration - cvclubs.org
2018 Summer Program Registration Please complete one form per child. Both sides of this form must be completed. Please mark the approximate dates your child will be attending. Only $25 per child, per week June 13-15 (7:30am-6pm) & June 18-29 & July 9-20 (1pm-6pm) *Club open 7:30am-6pm every Friday*Only $50 per child, per week July 2-6 & July 23-August 24 (7:30am-6pm) **Club will be closed July 4th** Family Orientation Night Monday, June 11th 2018 Please mark ONE session you will be attending with the number of people attending with you. 5:30-6:30 _____ 6:30:7:30 _____ Family Orientation Youth (Age 8 thru 5th Grade) Monday 11th June 5:30 -7:30 pm Key: First/Last Week of Summer Program Club is CLOSED _____ Member First Name Middle Name Last Name _____ Birth Date Gender _____ School Grade (Fall 2017) (Circle One) Home Cell (Circle One) Home Cell _____ Address City State Zip _____ Phone Number Alternate Phone Number _____ Head of Household Name Daytime Phone Number E-Mail _____ Other Parent/Guardian Name Daytime Phone Number E-Mail _____ Emergency Contact Name Daytime Phone Number _____ Doctor s Name Clinic Phone Number _____ Please list speci
2018 Summer Program Registration Please complete one form per child. Both sides of this form must be completed. Please mark the approximate dates your child will be attending.
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