2016 Prajna Summer Day Camp Registration
For more information see:
http://www.prajna4me.org/main/wp-content/uploads/2016/04/P_01_Summer_Camp_2016_04_27_v17_OB.pdf

Tuition Fees are due on 1st day of your camp. Kindly notify of changes so organizers can plan better. Tuition can be applied towards DCAP.
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Summer Camper Weeks *
Required
Kid's Name *
Age Group *
Sibling 1 Name
Sibling 1 Age Group
Sibling 2 Name
Sibling 2 Age Group
Mother's Name *
Father's Name *
Parent's email *
Address *
Primary phone number *
Allergies
Emergency Contact Name *
Emergency Contact Phone number *
Emergency Contact Email
How did you hear about us? *
Required
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