SUMMER CAMP REGISTRATION FORM
                            Sharon Hill and Primos locations
       Please enroll my child in Today’s Child Learning Centers’ Summer Camp 
       program for the Summer of 2006!  I would prefer my child attend the 
       program at:
       _____ 723 Secane Avenue                    _____ 235 Sharon Avenue
             Primos, PA 19018                               Sharon Hill, PA 19079
       CHILD’S NAME_ ____________________________ CURRENT GRADE____
       CHILD’S NAME _____________________________ CURRENT GRADE_____
       CHILD’S NAME _____________________________ CURRENT GRADE_____
       PARENT/GUARDIAN ________________________ SS# __________________
       HOME ADDRESS __________________________________________________
       TOWN____________________________________________________________
       DAYTIME PHONE # _______________________________________________
       CURRENT SCHOOL ________________________________________________
       MY CHILD WILL ARRIVE BY ______ am AND DEPART BY ______ pm
       Is your child currently receiving, or scheduled to receive:
       _____ CCIS subsidies
       _____ DPW funding
       PLEASE RETURN BY FRIDAY, MARCH 10th , 2006 TO YOUR PROGRAM 
       DIRECTOR