Open Arms Preschool : Enroll : Summer Camp Enrollment

Summer Camp Enrollment 2021

Child's Name (Required)

Gender

Male
Female

Date of Birth

Allergies

Address (Line 1)

Address (Line 2)

City

State

Zip

Parent's Name (Required)

Occupation

Cell Phone (Required)

Work Phone

Email (Required)

Parent's Name

Occupation

Cell Phone

Work Phone

Please Select The Weeks You Would Like To Register For

Week 1 -June 14-17 - FULL

$495

Week 1 is full!

Week 2 June 21-24 -FULL

$495

Week 2 is full!

Week 3 - June 28-July 1

$495

Week 4- July 5-8 FULL

$495

Week 4 is full!

Week 5 July 12-16 FULL

$495

Week 5 is full!

Week 6 July 19-22 Full

$495

Week 6 is full!

Where did you hear about us?

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Parent Initials (Required)

Credit Card Information

Cardholder Name (Required)

Credit Card # (Required)

Visa MasterCard American Express Discover

Expiration Date (Required)

Security Code (Required)

Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Billing Zip Code (Required)

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged