Lagoon Academy Wednesday - March 2023 - 10AM-12PM

Classes will meet every Wednesday from 10 AM - 12 PM March 1, March 8, March 15, March 22

Things to Bring: Mask, sunscreen, insect repellent, water bottle, snacks, and rain jacket. Please remember that the class will take place outdoors, so prepare your child(ren) for the weather conditions of the day.

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Student Name (first and last)*

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Student Date of Birth*

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List Your Child's Medical Conditions or Allergies (If none, please type N/A)*

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Parent First Name*

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Parent Last Name*

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Street Address*

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City*

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E-mail Address*

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Primary Phone Number*

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Alternate Phone Number*

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Emergency Contact Name*

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Emergency Contacts Relationship to Student*

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Emergency Contacts Primary Phone Number*

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All Adults Authorized to Pick Up Student (First and Last name of each; separate each with a comma)*

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Click Here For Behavior Policy

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Photo Release: We reserve the right to photograph participants and share the photos unless you opt out at the front desk upon arrival for the program.

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I acknowledge that refunds will only be granted up to 3 weeks prior to start of session, and that no refunds will be issued after that time.*

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Lagoon Academy Wednesday - March 2023 - 10AM-12PM

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