Summer Application Please fill out our online summer application below or for more information check out our Giocare Summer Program page. * Child's Name: * Date of Birth: Month: ---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day: ---12345678910111213141516171819202122232425262728293031 Year: ---2008200920102011201220132014201520162017 * Parent Name: * Address: * Phone: * Email: Dates of Attendance [check all that apply]: July 1 - 5*July 8 - 12July 15 - 19July 22 - 26July 29 - Aug 2August 5 - 9August 12 - 16August 19 - 23 Interested in Bridge Camp? JuneAugust Preferred Schedule: M-FM/W/FT/TH 8:30-12pm8:30-4pm7:45-6pm All fields required. A 10% deposit is due with your registration. * No class Wednesday, July 4 in observance of the holiday. « Summer Program
