TimePrice_____ Week 1 - July 11-15 Full Day $30_____ $25 Sibling Discount/week Full Day Subtotal ______ Registration Fee $25 Total: ______ _________________________________________________________Child's Name Age of Child/D.O.B._________________________________________________________Child's Name Age of Child/D.O.B._________________________________________________________Parents/Guardian Name_________________________________________________________Address_________________________________________________________Home PhoneCell Phone_________________________________________________________E-mail