*Note: if a class doesn’t meet minimums, they will be canceled and you will be refunded the full amount. 2022 Christmas Break Mini Camp Parent/Guardian Contact Info Name * First Last * Last Relation to Child * Email * Phone * Home Address Home Address Home Address Home Address City City State/Province State/Province Zip/Postal Zip/Postal Student Info Name * Name First First Last Last Birthdate * Please list any allergies the student has. Days to Attend Tuesday 12/20/2022 Wednesday 12/21/2022 Thursday 12/22/2022 plus1 Add minus1 Remove Total $ Credit Card * If you are human, leave this field blank. Submit