Register for the Wonder Girls 2024 Summer Program Name of Student * First Name Last Name Email of Student * Cell Phone of Student * (###) ### #### Name of Parent / Guardian * First Name Last Name Email of Parent / Guardian * Cell Phone of Parent / Guardian * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Grade * School * Do you have any allergies, health issues or take any medications that we should be aware of? Please note if your child needs an epi pen or inhaler. * Emergency Contact * Please provide name and number. Choose Your Week * Week 1: July 8-12 Week 2: July 15-19 Both Weeks Thank you for your application to our Wonder Girls Summer Program! If you have any questions or concerns, please contact us at:Ana Barreiros, Summer Camp Program Coordinatorana@wondergirlsusa.orgCell Phone: 201.522.6355Thank you! THE WONDER GIRLS TEAM
