Child's Name *

First Name

Last Name

Choose your weeks *

WEEK#1: 6/2-6/6

WEEK#2: 6/9-6/13

WEEK#3: 6/16 -6/20

WEEK#4: 6/23-6/27

WEEK#5: 6/30-7/4

WEEK#6: 7/7-7/11

WEEK#7: 7/14-7/18

WEEK#8: 7/21-7/25

WEEK#9: 7/28-8/1

WEEK#10: 8/4-8/8

Location#1: 9501 SW Archer Rd, Celebration United Methodist Church

Location#2: 3411 NW 83rd St., Meizon Church

Guardian Information *

First Name

Last Name

Phone *

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