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100 Nassau Ave, Atlantic Beach, NY 11509
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Kids Club 2022
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Kids Club 2022 Registration Form
Child's Last Name
Child's First Name
Age
Allergies
*
Parent's First Name
*
Parent's Last Name
*
Parent's Email
*
Parent's Cell Phone
Home Phone
Address
City
Zip Code
Kids Club tuition is $250/child.
Yes
No
I am interested in sponsoring the ice cream truck for $200
Photo/Video Release - I acknowledge that Kids Club is responsible for producing and publishing a variety of newsletters, brochures, videos and fliers. I hereby authorize Kids Club/JCAB to use, reproduce or publish photographs or videos of my child which may be taken during our participation in Kids Club activities for any purposes without compensation to me or my child.
I-agree-to-the-photo/video-release
I-do-not-agree-to-the-photo/video-release
*
Total Camp Fees
Tue, May 30 2023 10 Sivan 5783