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SACP Summer Care Student Registration

Student Information

Gender*
Answer required for "Gender"
Address
State*
Answer required for "State"

Parent 1 Information

Parent 2 Information

Emergency Contact Information

Family Doctor Information

Can your child be photographed for social media, local media, and website?*
Answer required for "Can your child be photographed for social media, local media, and website?"
Signature*
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Date:
Confirmation Email