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T.V. NEWSPAPER OUTDOOR SIGNS SCHOOLS GRADE

Camper's Name   Age 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 D.O.B   Gender Male Female         Camper's Name   Age 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 D.O.B   Gender Male Female         Camper's Name   Age 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 D.O.B Gender Male Female

PARENT / GUARDIAN INFORMATION

Mother / Guardian's Name
E-Mail
Place of Employment

Phone # Home	Work	Cell	Pager

Father /Guardian's Name
E-Mail
Place of Employment

Phone # Home	Work	Cell	Pager

PLEASE SELECT WEEKS ATTENDING CAMP

9 Weeks Session   8 Weeks Session   4 Weeks Session   Weekly

Camp Dates (June 9 - August 8) Week 1   June 9 through June 13 Week 2   June 16 through June 20 Week 3   June 23 through June 27 Week 4   June 30 through July 4 Week 5   July 7 through July 6 Week 6   July 14 through July 13 Week 7   July 21 through July 20 Week 8   July 28 through July 27 Week 9   August 4 through August 8

Parents, you must bring the following in order to complete registration:
Copy of:
• Birth Certificate
• Immunization Card (Vaccinations)
• Child's Social Security or Passport
• Student ID Number (Found in Upper Left Side of Report Card)
• Parent's Florida Driver's License
 

(305) 207-0022 9395 S.W. Bird Road. Miami, Fl 33165  Copyright 2002 fitkidsclub.com. All Rights Reserved

Official sponsor of the Fit Kids Program   The Fit  Kids Program is funded in part by The Children's Trust