Registrations | Italian Camps - Learn Italian with Italo Bambini

Please note: you can only register multiple children for the same camp. To register more than one child to different camps a separate registration is required.
General Information
Is this a gift?(Required)
- Yes
- No
Child Last Name(Required)
Child First Name(Required)
Parent Last Name(Required)
Parent First Name(Required)
Sibling or friends(Required)
Sibling or friend to be in same class with
Are you registering more than one child?(Required)
- Yes
- No
Child 2 Last Name(Required)
Child 2 First Name(Required)
Add Third Child
- Add Third Child
Child 3 Last Name(Required)
Child 3 First Name(Required)
Address(Required)
Address 1 Address 2 City Province Postal Code
Home Phone Number
Cell Phone Number(Required)
Parent Email Address(Required)
How did you hear about us?
Other

Emergency Contact
Emergency Contact Person Name(Required)
First Name Last Name
Relationship to the child(ren)(Required)
Relationship
Home Phone Number
Cell Phone Number(Required)
Child 1 Medical Information
Child 1 Date Of Birth, CHOOSE YEAR FIRST then day and month(Required)
Year
Month
Day
Child 1 Gender(Required)
- Male
- Female
Child 1 Allergies(Required)
Child 1 Medication(Required)
Child 2 Medical Information
Child 2 Date Of Birth, CHOOSE YEAR FIRST then day and month(Required)
Year
Month
Day
Child 2 Gender(Required)
- Male
- Female
Child 2 Allergies(Required)
Child 2 Medication(Required)
Child 3 Medical Information
Child 3 Date Of Birth, CHOOSE YEAR FIRST then day and month(Required)
Year
Month
Day
Child 3 Gender(Required)
- Male
- Female
Child 3 Allergies(Required)
Child 3 Medication(Required)
Permission to Pick Up Child
1 Last Name........First Name(Required)
Phone Number(Required)
2 Last Name..........First Name(Required)
Phone Number(Required)

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