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Decatur Winter Break Day Camp Registration

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* Required information.

Part 1.  Basic Information

Student's First Name *
Student's Last Name *
Gender *
male
female
Division
email *
Phone *

Complete for minors only

Date of birth
What school does the student attend? (if applicable)
Current Grade
Parent's Name
Additional Parent's Name
Secondary email
Secondary Phone

Payment Options

How would you like to pay tuition? *
Camp only: would you like to pay

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