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<B><FONT="COMIC SANS SERIF"><FONTSIZE="16PT"><FONT COLOR="#2B60DE"> CHILDREN COME 1ST (CC1ST) SUMMER ENRICHMENT CAMP</B></FONT></html>
Welcome Campers!

Children Come 1st, Inc. Summer Enrichment Camp is an engaging language arts, writing, math, reading and physical education camp where students in grades 2-6 gain valuable life and learning skills. Our enrichment camp combine the best of individual subject matter, increasing cognitive levels balanced with a range of sports activities, creative thinking and fun, age appropriate field trips! Our camps seek to provide children with the tools to improve their self-help and independent skills in all areas as well as others. (CERTIFIED CMS TEACHERS)
CAMPER'S FULL NAME *
CAMPER'S COMPLETE ADDRESS *
CAMPER'S AGE *
 8 
 9 
 10 
 11 
 12 
CAMPER'S GENDER *
 Male 
 Female 
DATES TO ATTEND (Check All That Apply) *
 June 15-19 
 June 22-26 
 June 29-July 3 
 July 6-10 
 July 13-17 
 July 20-24 
 July 27-31 
 August 3-7 
 August 10-14 
 August 17-21 
CC1ST CLUB CHOICES (Select Two) *
 Chess Club 
 Drama Club 
 Book Club 
 Checkers Club 
 Sports Club 
 Music 
 Dance 
GUARDIAN 1 - RELATIONSHIP TO CAMPER *
GUARDIAN 1 NAME *
GUARDIAN 1 ADDRESS *
GUARDIAN 1 PHONE *
GUARDIAN 1 ALTERNATE PHONE
GUARDIAN 1 E MAIL *
GUARDIAN 2 - RELATIONSHIP TO CAMPER
GUARDIAN 2 NAME
GUARDIAN 2 ADDRESS
GUARDIAN 2 PHONE
GUARDIAN 2 ALTERNATE PHONE
GUARDIAN 2 E MAIL
CAMPER HEALTH INSURANCE CARRIER *
POLICY NUMBER *
FAMILY PHYSICIAN'S NAME *
FAMILY PHYSICIAN'S PHONE# *
DOES THE CAMPER HAVE ANY SPECIAL NEEDS? *
IF YES, PLEASE EXPLAIN.
EMERGENCY CONTACT NAME *
EMERGENCY CONTACT - RELATIONSHIP TO CAMPER *
EMERGENCY CONTACT PHONE# *
EMERGENCY CONTACT ALTERNATE PHONE#
HOW DID YOU HEAR ABOUT US? *
GUARDIAN 1 OR 2 (ELECTRONIC) SIGNATURE *
CURRENT DATE *
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<HTML><B><I> All registration and weekly camp fees are due by pickup time every Monday. Thank you for registering with CC1st! We look forward to a fun-filled, enjoyable summer with you!</b></i></html>