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Generation One © 1429H Summer School Registration

Guardian's Information

First Name

*

Middle Initial

 

Last Name

*

Email

*

Phone

*

Street Address

* 

City

*

State

Zip code

* 

 

Information about Children Attending

# of Boys:

# of Girls:

Enter boys' ages (Age limit: 5-13) 

comma-separated for each child:

E.g.:  5,7,9

Enter girls' ages (Age limit: 5-13) 

comma-separated for each child:

E.g.:  5,7,9

   
 

 

* required field

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