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NYC Summer Camp Registration
NYC Summer Camp Registration
Student #1
First Name
(Required)
Last Name
(Required)
Gender
(Required)
Male
Female
Age
(Required)
Hidden
Birth Day
(Required)
DD dash MM dash YYYY
Birth Day
(Required)
Last Grade Completed
(Required)
Medical Conditions
(Required)
T-shirt size
(Required)
Add another student
Add another student
Student #2
First Name
(Required)
Last Name
(Required)
Gender
(Required)
Male
Female
Age
(Required)
Hidden
Birth Day
(Required)
MM slash DD slash YYYY
Birth Day
(Required)
Last Grade Completed
(Required)
Medical Conditions
(Required)
T-shirt size
(Required)
Parent/Guardian #1
First Name
(Required)
Last Name
(Required)
Relationship
(Required)
Address
(Required)
Email
(Required)
Phone
(Required)
Parent/Guardian #2
First Name
(Required)
Last Name
(Required)
Relationship
(Required)
Address
(Required)
Email
(Required)
Phone
(Required)
Add another parent/guardian
Add another parent/guardian
Parent/Guardian #3
First Name
(Required)
Last Name
(Required)
Relationship
(Required)
Address
(Required)
Email
(Required)
Phone
(Required)
Emergency Contact Info
Full Name
(Required)
Relationship
(Required)
Email
(Required)
Phone
(Required)
Payment
Registration Fee (NON REFUNDABLE)
Price:
Credit Card
Card Details
Cardholder Name
Get in
Touch
Phone Number:
630-822-6530
Company Address:
P.O. Box 9190
Naperville, IL 60567
Website
www.napervilleyouthclub.org
Email:
info@napervilleyouthclub.org