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Apple Afterschool 2012/2013 Winter Camp Daily Activities
apple_afterschool_winter_camp_20112012_activity_schedule.pdf
File Size:
125 kb
File Type:
pdf
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Apple 2011/2012 Winter Camp Registration Request
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Indicates required field
Parent Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Home Phone Number
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Cell Phone Number
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Work Phone Number
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Email
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Additional Parent Name (optional)
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First
Last
Additional Parent Address (if different than address listed above)
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Line 1
Line 2
City
State
Zip Code
Country
Home Phone Number (if different than home phone listed above)
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Cell Phone Number
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Work Phone Number
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Email
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Student Name
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First
Last
Grade & Public School
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Student Name #2 (optional--only applicable if registering more than one child)
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First
Last
Grade & Public School
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Student Name # 3 (optional--only applicable if registering more than one child)
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First
Last
Name & Public School
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I am interested in having my child(ren) attend a FULL DAY SESSION (use of hours between 7:45am - 5:30pm) on the following days at a cost of $25 per day for grade K or $35 per day for 1/2 day K's and grades 1 - 6.
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YES
NO
If you answered yes, to the above question, Please check the days below for FULL DAY SESSION
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M 12/19
T 12/20
W 12/21
Th 12/22
F 12/23
M 1/2
T 1/3
W 1/4
Th 1/5
F 1/6
M 1/9
T 1/10
I am interest in having my child(ren) attend camp during our student's typical afterschool hours (2:00pm - 5:30pm) for grades 1 - 6 and 1/2 day K's (no additional fees beyond regular December/January tuition)
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YES
NO
If you answered YES to the above question, please check the days below for AFTERSCHOOL SESSION HOURS:
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M 12/19
T 12/20
W 12/21
Th 12/22
F 12/23
Total Number of Days Requested:
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Tuition Due:
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Please Select Payment Option:
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Winter Camp tuition will be sent separate from December and January Tuition
Winter Camp tuition will be sent with December and January Tuition
Comment(s):
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