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Hamden CT- Weekly Quick Pay 2022
Location Confirmation
*
Hamden CT
Week Selection
*
Please select
Week 1- Mon June 20 - Fri June 24
Week 2 - Mon June 27 - Fri July 1
Week 3 - Tue July 5 - Fri July 8
Week 4 - Mon July 11 - Fri July 15
Week 5- Mon July 18 - Fri July 22
Week 6 - Mon July 25- Fri July 29
Week 7 - Mon Aug 1 - Fri Aug 5
Wk 8: Mon Aug 8 - Fri Aug 12
Wk 9: Mon Aug 15 - Fri Aug 19
Wk 10: Mon Aug 22 - Fri Aug 26
How Many Children are Attending?
*
Please select
1 Child
2 Children
3 Children
Child #1 Name
First
Last
Child #1: Registration Status
Please select
First Time - Need to Pay Reg Fee ($50)
Already Paid Reg Fee ($0)
1 Child: Camp Week Duration
Please select
1 Child: Full Day (7:30am-6:00pm)___Hamden
1 Child: Morning Half Day (7:30am-12:30pm)___Hamden
1 Child: Afternoon Half Day (1:00pm-6:00pm)___Hamden
1 Child: Only 1 Day in the Week___Hamden
1 Child: 2 Days___Hamden
1 Child: 3 Days___Hamden
Child #2 Name
First
Last
Child #2: Registration Status
Please select
First Time - Need to Pay Reg Fee ($100)
Already Paid Reg Fee ($0)
2 Children: Camp Week Duration
Please select
2 Children: Full Day (7:30am-6:00pm)___Hamden
2 Children: Morning Half Day (7:30am-12:30pm)__Hamden
2 Children: Afternoon Half Day (1:00pm-6:00pm)__Hamden
2 Children: Only 1 Day in the Week___Hamden
2 Children: 2 Days__Hamden
2 Children: 3 Days__Hamden
Child #3 Name
First
Last
Child #3: Registration Status
Please select
First Time - Need to Pay Reg Fee ($100)
Already Paid Reg Fee ($0)
3 Children: Camp Week Duration
Please select
3 Children: Full Day (7:30am-6:00pm)__Hamden
3 Children: Morning Half Day (7:30am-12:30pm)__Hamden
3 Children: Afternoon Half Day (1:00pm-6:00pm)__Hamden
3 Children: Only 1 Day in the Week__Hamden
3 Children: 2 Days__Hamden
3 Children: 3 Days__Hamden
Mothers or Fathers Name
*
First
Last
Cell Number
*
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###
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Email
need for payment confirmation
Do you Need ALM as an Primary Insurance for the Week
*
Yes - I want ALM Insurance as Primary ($10 family)
No - Ill use my Own Insurance as Primary ($0)
Total
$2.00
