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I.K.E Summer Registration
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Kids Using Tablets

I.K.E Summer Program Registration

Parent/ Guardian information

First name

Last name

Address

Email

Phone

Child's information

Name, D.O.B, Grade *

Registration by week

All 4 weeks

Weekly Registration (For more than one Child select correct quantity)*

All 4 Weeks$120

Weekly Payment - Summer Program

First name

Last name

Email*

Child(ren) Name

Select Payment Week

Week 1 - June 22

Week 2 - June 29

Week 3 - July 6

Week 4 - July 13

Week 5 - July 20

Week 6 - July 27

If you are paying for more than one week, change the number on the right

Weekly Payment - Child 1$40

If you are paying for more than one week, change the number on the right

Weekly Payment - Child 2$40

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