SUMMER BRIDGES
CAMP REGISTRATION
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Summer Bridges Activity Camp
Child(s) Name   Child(s) Age

Parent(s) First Name   Last Name

E-Mail Address  

Home Phone Number   Emergency Phone Number

Do you want your Child to be with a friend?  If yes, please specify their name

Please check the box AFTER the date to select your camp date and time.



09:00AM - 11:00AM  08/0408/0508/0608/0708/1108/1208/1308/14


09:30AM - 11:30AM  08/0408/0508/0608/0708/1108/1208/1308/14


10:00AM - 12:00PM  08/0408/0508/0608/0708/0808/1108/1208/1308/1408/15


10:30AM - 12:30PM  08/0408/0508/0608/0708/0808/1108/1208/1308/1408/15

Any Special Requests

Airtastic Play Land
850 S. Frontenac  Aurora, Illinois 60504
(630) 851-7525 | play@airtastic.com | www.airtastic.com

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