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2016 Legacy Buddha Belly Kids Yoga Camp
Please complete this form to register for Ascension Summer Yoga Camp. Session includes 45-60 minutes of yoga, daily arts & craft projects, and time for snack or lunch break. Please provide your child with their snack or lunch. Comfortable clothes & water bottle needed. Dates June 27-July 1 and July 11-15. $150 per week
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* Indicates required question
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Grade for 2016-2017
*
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Week
*
Week 1 June 27th-July 1st
Week 2 July 11th-July 15th
Both weeks June 27th-July 1st and July 11th-July 15th
Session Choice
*
Session 1 8:45am-10:45am 2nd-5th grade
Session 2 11:15am-1:15pm Preschool- 2nd grade
Parent or Guardian
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Your answer
Primary Phone
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Your answer
Secondary Phone
*
Your answer
Parent Email
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Your answer
Camper Allergies
*
Your answer
Any additional notes
Your answer
Buddha Belly Kids Yoga has a staff photographer or newspaper photographer come to yoga classes to take photographs for flyers, newspaper stories, Facebook, Instagram, and/or Twitter accounts, and pictures for our website.
*
Yes I agree that my child's picture can be used for these publications.
I do not agree that my child's pictures can be used for these publications.
Please write check payable to BBKY, LLC.
Erin Bracco
2033 W. Erie Street
Unit #2
Chicago, IL
60612
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