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Day Camp Registration Form    

 

YPTW Summer Day Camp Registration

To enroll in a workshop(s), mail this form with a check payable to YPTW , Inc. to:

YPTW Day Camp

c/o Claudia Carlsson

363 Radford Court

Glen Mills, PA 19342

Applications cannot be accepted unless accompanied by a check.

Name_____________________________________________________________________________________

Address___________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Phone_____________________________________________________________________________________

Email_____________________________________________________________________________________

Birthdate_____________________________________________Age__________________________________

Please check here if appropriate:

______New student               ______ Returning student  

______New address               

 

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