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To reserve a space for your child call 301-334-4211 – OR - Return the bottom portion of this form to Garrett County Judy Center, 41 Highview Dr., Oakland, MD 21550 Yes, I want to enroll my child in a Yough Glades Summer Camp, July 30-Aug 3, 2018 In August, my child will be entering: ____Pre-K ____Kindergarten Child’s full name: _________________________ DOB: ____________ Male Female Nickname: ______________________________ Phone # _______________________ Parent’s Name(s):___________________ Mailing Address:_________________________ Last Teacher:______________________ _________________________ My child is allergic to foods: _________________ medications: _________________ bees/animals: __________________ Other: _____________________ Garrett Co. Judy Center has permission to take my child’s photograph at camp for publicity. Yes No Parent Signature __________________________________ FREE
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FREE - owa.garrettcac.org · Garrett County Judy Center, 41 Highview Dr., Oakland, MD 21550 Yes, I want to enroll my child in Crellin Summer Camp, August 6-8, 2018 In August, my child

Nov 01, 2020

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Page 1: FREE - owa.garrettcac.org · Garrett County Judy Center, 41 Highview Dr., Oakland, MD 21550 Yes, I want to enroll my child in Crellin Summer Camp, August 6-8, 2018 In August, my child

To reserve a space for your child call 301-334-4211 – OR -

Return the bottom portion of this form to

Garrett County Judy Center, 41 Highview Dr., Oakland, MD 21550

□ Yes, I want to enroll my child in a Yough Glades Summer Camp, July 30-Aug 3, 2018

In August, my child will be entering: ____Pre-K ____Kindergarten

Child’s full name: _________________________ DOB: ____________ □Male □Female

Nickname: ______________________________ Phone # _______________________

Parent’s Name(s):___________________ Mailing Address:_________________________

Last Teacher:______________________ _________________________

My child is allergic to □foods: _________________ □medications: _________________

□bees/animals: __________________ □Other: _____________________

Garrett Co. Judy Center has permission to take my child’s photograph at camp for publicity.

□ Yes □ No Parent Signature __________________________________

FREE

Page 2: FREE - owa.garrettcac.org · Garrett County Judy Center, 41 Highview Dr., Oakland, MD 21550 Yes, I want to enroll my child in Crellin Summer Camp, August 6-8, 2018 In August, my child

To reserve a space for your child call 301-334-4211 OR

Return the bottom portion of this form to

Garrett County Judy Center, 41 Highview Dr., Oakland, MD 21550

□ Yes, I want to enroll my child in a Friendsville Summer Camp, August 13-17, 2018

In August, my child will be entering: ____Pre-K/Head Start ____Kindergarten

Child’s full name: _________________________ DOB: ____________ □Male □Female

Nickname: ______________________________ Phone # _______________________

Parent’s Name(s):___________________ Mailing Address:_________________________

Last Teacher:______________________ _________________________

My child is allergic to □foods: _________________ □medications: _________________

□bees/animals: __________________ □Other: _____________________

Garrett Co. Judy Center has permission to take my child’s photograph at camp for publicity.

□ Yes □ No Parent Signature __________________________________

FREE

Page 3: FREE - owa.garrettcac.org · Garrett County Judy Center, 41 Highview Dr., Oakland, MD 21550 Yes, I want to enroll my child in Crellin Summer Camp, August 6-8, 2018 In August, my child

To reserve a space for your child call 301-334-4211 – OR -

Return the bottom portion of this form to

Garrett County Judy Center, 41 Highview Dr., Oakland, MD 21550

□ Yes, I want to enroll my child in a Broad Ford Summer Camp, August 6-10, 2018

In August, my child will be entering: ____Pre-K ____Kindergarten

Child’s full name: _________________________ DOB: ____________ □Male □Female

Nickname: ______________________________ Phone # _______________________

Parent’s Name(s):___________________ Mailing Address:_________________________

Last Teacher:______________________ _________________________

My child is allergic to □foods: _________________ □medications: _________________

□bees/animals: __________________ □Other: _____________________

Garrett Co. Judy Center has permission to take my child’s photograph at camp for publicity.

□ Yes □ No Parent Signature __________________________________

FREE

Page 4: FREE - owa.garrettcac.org · Garrett County Judy Center, 41 Highview Dr., Oakland, MD 21550 Yes, I want to enroll my child in Crellin Summer Camp, August 6-8, 2018 In August, my child

To reserve a space for your child call 301-334-4211 – OR -

Return the bottom portion of this form to

Garrett County Judy Center, 41 Highview Dr., Oakland, MD 21550

□ Yes, I want to enroll my child in Crellin Summer Camp, August 6-8, 2018

In August, my child will be entering: ____ Kindergarten

Child’s full name: _________________________ DOB: ____________ □Male □Female

Nickname: ______________________________ Phone # _______________________

Parent’s Name(s):___________________ Mailing Address:_________________________

Last Teacher:______________________ _________________________

My child is allergic to □foods: _________________ □medications: _________________

□bees/animals: __________________ □Other: _____________________

Garrett Co. Judy Center has permission to take my child’s photograph at camp for publicity.

□ Yes □ No Parent Signature __________________________________

FREE

Page 5: FREE - owa.garrettcac.org · Garrett County Judy Center, 41 Highview Dr., Oakland, MD 21550 Yes, I want to enroll my child in Crellin Summer Camp, August 6-8, 2018 In August, my child

To reserve a space for your child call 301-334-4211 – OR -

Return the bottom portion of this form to

Garrett County Judy Center, 41 Highview Dr., Oakland, MD 21550

□ Yes, I want to enroll my child in a Grantsville Summer Camp. In August,

my child will be entering: __Pre-K/Head Start (Aug 6-9) __Kindergarten (Aug 6-8)

Child’s full name: _________________________ DOB: ____________ □Male □Female

Nickname: ______________________________ Phone # _______________________

Parent’s Name(s):___________________ Mailing Address:_________________________

Last Teacher:______________________ _________________________

My child is allergic to □foods: _________________ □medications: _________________

□bees/animals: __________________ □other: _____________________

Garrett Co. Judy Center has permission to take my child’s photograph at camp for publicity.

□ Yes □ No Parent Signature __________________________________

FREE