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Text Box: 266-3323       REGISTRATION INFORMATION         266-3323
Registration for all Recreational Activities will take place from 10:00 AM to 12:00 Noon in the Elementary Gym at North School on the following dates:

                  Tuesday June 29                Wednesday June 30

Please fill out a Summer Activities Registration form and present it when you come to register.  Checks are to be made payable to Brigantine CER.  

Cash will not be accepted.

NO MAIL IN REGISTRATION will be accepted.  You must register in person on June 29 or 30

All activities are subject to cancellation due to insufficient enrollment.  If an activity is cancelled, you will receive a refund of all fees.

 

SUMMER ACTIVITIES REGISTRATION FORM – 2010

 

CHILD’S NAME____________________________Age_______D.O.B_______________

 

ACTIVITY________________________________________Fee:___________________

 

Parent’s Name_________________________________________________________

 

Address________________________________City_____________Zip____________

 

Phone (H)__________________________(Cell #)_____________________________

   

Emergency Name_____________________________Phone____________________

 

Email________________________________________________________________

 

SUMMER ACTIVITIES REGISTRATION FORM – 2010

 

CHILD’S NAME____________________________Age_______D.O.B_______________

 

ACTIVITY________________________________________Fee:___________________

 

Parent’s Name_________________________________________________________

 

Address________________________________City_____________Zip____________

 

Phone (H)__________________________(Cell #)_____________________________

   

Emergency Name_____________________________Phone____________________

 

Email__________________________________________________________

 

SUMMER ACTIVITIES REGISTRATION FORM – 2010

 

CHILD’S NAME____________________________Age_______D.O.B_______________

 

ACTIVITY________________________________________Fee:___________________

 

Parent’s Name_________________________________________________________

 

Address________________________________City_____________Zip____________

 

Phone (H)__________________________(Cell #)_____________________________

   

Emergency Name_____________________________Phone____________________

 

Email_________________________________________________________________

 

SUMMER ACTIVITIES REGISTRATION FORM – 2010

 

CHILD’S NAME____________________________Age_______D.O.B_______________

 

ACTIVITY________________________________________Fee:___________________

 

Parent’s Name_________________________________________________________

 

Address________________________________City_____________Zip____________

 

Phone (H)__________________________(Cell #)_____________________________

   

Emergency Name_____________________________Phone____________________

 

Email_________________________________________________________________