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Youth Services
Events
Ticked to work
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Home
About Us
Services
Youth Services
Events
Ticked to work
Home
About Us
Services
Youth Services
Events
Ticked to work
Summer
Camp
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Parent's Name
*
First
Last
Child's Name
*
First
Last
Phone Number
Email
*
Emergency Contact Name
Emergency Contact Phone Number
Child’s Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Preferred Camp Location
Miami
Broward
Preferred Start Week
Week1 June 29th-July 3rd
Week2 July 6th-July 10th
Week3 July 13th-July 17th
Week4 July 20th-July 24th
Week4 July 27th-July 31st
Week5 August 3rd- 7th
Week6 10th-14th
aware Emergency of
Food Allergies
Medical, behavioral, or support needs we should be aware of Questions or Additional Notes
Submit
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