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2019 Gateway Academy - Summer Registration Form

GATEWAY ACADEMY SUMMER CAMP REGISTRATION FORM

To secure your spot in the class, 
1. Fill out this form
2. Proceed with payment.

Prior to register, please read our Payment Information and Refund Policies

Enter the name of the student you wish to register
Enter the birth date of the student you wish to register
Enter the current age of the student you wish to register
Please indicate how your child wishes to be identified.
Enter the name of the parent or guardian of the child you are registering.
Please enter the best contact number to reach you at.
Please enter an alternative phone number to reach you at, if we are unable to reach you at your primary number.
Please enter your email address.
Please indicate if you've been enrolled in a class at the Gateway Academy before.
Please indicate which Summer Camp or Workshop you are interested in registering for.
Please let us know how you heard about the Gateway Academy.
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