CentriKid 2018 Registration
 
CentriKid 2018 Registration
Child's Name (First Last)  * 
Address  * 
City, State, Zip  * 
Phone (xxx-xxx-xxxx)  * 
Grade (completed)  * 
Gender  * 
Roommate Preference (same grade): Preferences not guaranteed. Please list up to 3 names or "NP" if no preference. * 
Parent/Guardian Names  * 
Your Email Address  * 
T-shirt Size  * 
Online payment of Deposit: $50.00. No other camp payments are required.
Amount enclosed  * $ 
Please type in the box to the right »  * 
Total $
 
 
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