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Waitlist For Park Day Camp

Please fill out the form to be on the PDC Waitlist. If you have any questions you can contact Mike Rubin at parkdaycamp@parksyn.org
Both Parents
Mother
Father
Other
Yes
No
Yes
No
Male
Female

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.
Total:   

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