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Wilshire Eclc Summer Registration Form 2020

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Wilshire ECLC Summer Registration Form 2020

Summer Registration

Page 1

Personal Information

Email*

First Name*

Last Name*

Date of Birth*

Select date

Grade Level*

School Name*

Parent/Guardian Name*

Parent/Guardian Phone Number*

Emergency Contact Name*

10.

Emergency Contact Phone Number*

Description:Register for Wilshire ECLC Summer Program 2020. Fill out the form to enroll your child in our summer program.

Wilshire ECLC Summer Registration Form 2020: Register Your Child Today Looking for a fun and educational summer program for your child? Look no further than Wilshire ECLC! Our summer program is designed to provide children with a safe and engaging environment where they can learn, grow, and have fun. To enroll your child in our summer program, simply fill out our registration form. Our program is open to children of all ages and abilities, and we offer a variety of activities and programs to suit every child's interests. Our experienced and dedicated staff are committed to providing your child with the best possible summer experience. We prioritize safety and security, and our facilities are designed to provide a comfortable and welcoming environment for all children. Don't miss out on this exciting opportunity! Register your child for Wilshire ECLC Summer Program 2020 today.

Student's Full Name*

Parent/Guardian's Full Name*

School Name*

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Student's Full Name*

Parent/Guardian's Full Name*

School Name*

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Full Name*

Student ID*

Date of Expense*

Select date

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Grade Level*

Teacher Name*

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Course Name*

Course Code*

Instructor Name*

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Department*

Supervisor's Name*

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Geburtsdatum*

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Last Name*

Date of Birth*

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