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2022 Art in the Park for 5-7 Year Olds
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Parent/Guardian Information
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First Name
Last Name
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Address Line 1
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City
State/Province
ZIP/Postal Code
Participant Information
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First Name
Last Name
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First Name
Last Name
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First Name
Last Name
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First Name
Last Name
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Emergency Information and Releases
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First Name
Last Name
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Allergies and other medical or behavioral concerns HCOA and program/event leaders and teachers should know about (this information will only be shared on a need-to-know basis)
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By typing my full name above, I am testifying that the information that I have provided on this form is accurate, and that I have read and understand all the release statements, and agree to all terms.
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Payment
To pay now with a credit card: enter the number of weeks you are paying for, multiplied by the number of children. Cash or check payments are due no later than the start of camp, but we recommend paying sooner to secure your spot. Read our registration and cancelation policies for more information.