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BROADWAY BABY CAMP REGISTRATION - DEPOSIT ONLY ($100)
June 6th - 10th, 2022
|
3 - 5 year olds
(3 by Jan 2022)
***Must be FULLY potty-trained***
Registration Deadline: May 31st, 2022
*
Indicates required field
CAMPER'S NAME
*
AGE
*
BIRTHDATE
*
TSHIRT SIZE
*
YS
YM
YL
AS
AM
AL
XL
GENDER
*
Male
Female
Parent/Guardian Name
*
Parent/Guardian Name
*
Parent Phone
*
Phone number we will be able to reach you during camp
Parent Phone
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Does your child have Allergies/Medical/Emotional/Special Needs
*
Emergency Contact Name
*
if parents cannot be reached
Emergency Contact Phone
*
Names of those authorized to pick up your child
*
How did you hear about RPA?
*
ATTENTION
: When you click "submit," you will be led to a page where you will pay the $100 deposit for Broadway Babies camp. Please do not click submit until you are ready to do so! If you would prefer to pay via check, please back out of this page and register your child via the "printed registration" option.
Submit
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