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Name*

Email Address*

Phone*

Registration (non-refundable)*

Full Day $280

Half Day $140

Private Lessons $25

Transportation $25

Participant's First Name: *

Participate's Last Name *

Sibling Discount

Select an option

Coding Experience

Campus

Emergency Contact

Relationship

Emergency Phone

Scholarship (receive free or reduced lunch)

Select an option

Scholarships Available

Select an option

Household

Select an option

Comments

Does the camper have an IEP?

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