| Child's First Name |
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| Child's Last Name |
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| Street Address |
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| City |
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| State |
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| Zip Code |
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| Home Phone |
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| Cell Phone |
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| E-mail Address |
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| Grade Next Fall |
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What grade is your child going to be in after this summer's classes?
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Block A (6-9) July 6 to July 17 9:00 to 12:15
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Session 1.1 July 6 - July 17, 2009 9:00 to 10:30 |
| First Choice |
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| Second Choice |
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Session 1.2 July 6 - July 17 2009 10:45 to 12:15 |
| First Choice |
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| Second Choice |
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Block B (6-9) July 6 to July 17 1:00 to 4:15
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Session 1.3 July 6 - July 17, 2009 1:00 to 2:30 |
| First Choice |
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| Second Choice |
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Session 1.4 July 6 - July 17, 2009 2:45 to 4:15 |
| First Choice |
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| Second Choice |
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Block C (6-9) July 20 to July 31 9:00 to 12:15
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Session 2.1 July 20 - July 31, 2009 9:00 to 10:30 |
| First Choice |
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| Second Choice |
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Session 2.2 July 20 - July 31, 2009 10:45 to 12:15 |
| First Choice |
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| Second Choice |
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Block D (6-9) July 20 to July 31 1:00 to 4:15
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Session 2.3 July 20 - July 31, 2009 1:00 to 2:30 |
| First Choice |
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| Second Choice |
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Session 2.4 July 20 - July 31, 2009 2:45 to 4:15 |
| First Choice |
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| Second Choice |
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Block E (6-9) August 3 to August 14 9:00 to 12:15
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Session 3.1 August 3 - August 14, 2009 9:00 to 10:30 |
| First Choice |
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| Second Choice |
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Session 3.2 August 3 - August 14, 2009 10:45 to 12:15 |
| First Choice |
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| Second Choice |
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Block F (6-9) August 3 to August 14 1:00 to 4:15
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Session 3.3 August 3 - August 14, 2009 1:00 to 2:30 |
| First Choice |
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| Second Choice |
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Session 3.4 August 3 - August 14, 2009 2:45 to 4:15 |
| First Choice |
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| Second Choice |
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