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Franc-O-Fun Online Registration Form
Summer Camp 2012
One Form is required for each student
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Student |
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*Name |
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*Birthdate |
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*Address |
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*Grade |
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*City |
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*State |
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*Home
Phone |
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*Zip |
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*Sex |
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*Choose
One |
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Experience |
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Parent |
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*Name |
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*Home
Phone |
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*E-Mail |
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Cell/Mobile |
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Medical |
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*Dr.
Name |
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*Phone |
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Medical
Conditions which may require attention, ie.
allergies, medications,
physical impairment |
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In case of
an Emergency Please Notify:
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*Name |
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*Home
Phone |
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*Address |
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Camps |
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*Camp |
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*Location |
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Supplies |
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Camp
T-Shirt |
Included with price of camp! |
Camp CD |
Included with price of camp! |
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T-Shirt
Size |
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Extra
Questions |
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How did you hear about us? |
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Comments and or Suggestions? |
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*
fields are mandatory |
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By Filling out this Regisration Form and clicking
the "Submit" button you are giving
permission for your child to participate in
Franc-O-Fun LLC. classes and you agree that
Franc-O-Fun LLC. is not responsible and may
not be held liable if your child has an injury
during the time he/she is at class. Before submitting
please read the Franc-O-Fun Summer Camp Guidelines
& Refund Policies - click
here. |
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