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 Summer Day Camp Registration  
Thank you for your interest in enrolling your child(ren) in Trinity's summer day camp.
The camp fee is $10 per child, payable no later than the first day of camp, July 9.
Please complete and submit a form for each child.

Child's First Name:
 *
Family Name:
 *
Family Email Address:
 *
Address:
 *
City:
 *
State:
 *
Zip Code:
 *
Telephone
 *
Cell Phone
Parent Contact Name
 *
Emergency Phone Number
 *
Boy
Girl
Child's Date of Birth
 *
September 2012 Grade Level:
 *
Any Dietary Limitations?
Security code:
 *
Do not enter anything in this field:

* indicates a required field
 
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TRINITY PRESBYTERIAN CHURCH

420 Melrose Avenue | Santa Cruz, California 95062 | 831.423.8995
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