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Home : How We Grow : The Summer Playhouse : Summer Playhouse Preschool Registration Form
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Summer Playhouse Registration Form

COOKING CAMP, June 18-21, is FULL.  Please register for one of our other other summer camps.  Thank you!

 

 

The Summer Playhouse Registration Form:

1.
*

Child's Name:

2.
*

Parent Name:

3.
*

Sex:

Male   Female
4.
*

Age:

5.
*

Address:

6.

Address 2:

7.
*

City:

8.
*

State:

9.
*

Zip Code:

10.
*

Home Phone Number:

11.
*

Cell Phone Number:

12.
*

Emergency Contact Information: 

Please provide the name and telephone number of someone other than yourself that we can contact in case of an emergency and you are not available.

13.
*

Please list any allergies and current medications.  If none, state "None."

14.
*

Which Preschool Camp(s) are you registering for?

 

(1 required)
Animals, Animals: June 25 - 28, 9- 12 pm   Art Explorers: July 9 - 12, 9-12 pm
Awesome Oceans: July 23-26, 9 - 12pm   Not registering for Preschool Camps

Once your registration is received, you will be rediected to a confirmation letter.  Please print this for your records. 

Fee is $85 per child  per camp and will be collected on the first day of camp.

* Enter Your Email Address:

Type in the text that you see above:

  

St. Giles Presbyterian Church
5200 Grove Ave.
Richmond, VA 23226
Phone: 804-282-9763
 

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