Application Form Application FormChild's Name* Child's First Name Child's Last Name Child's Birth Date (MM/DD/YYYY)*Age*Which campus are you interested in:*Calimesa Campus: 9580 Calimesa Blvd. Calimesa, CA 92320Ontario Campus: 2460 S. Euclid Ave., Ontario, CA 91762Start Date (MM/DD/YYYY)Legal Guardian Paperwork Needed*YesNoAllergiesMedicationFood RestrictionsEpi Required*YesNoParent/Guardian #1 Name* Parent/Guardian #1 First Name Parent/Guardian #1 Last Name Phone Number #1*Email #1* Pass Code #1Parent/Guardian #2 Name Parent/Guardian #2 First Name Parent/Guardian #2 Last Name Phone Number #2Email #2 Pass Code #2Charge card on file on this day of the monthParent/Guardian Signature*Date Date Format: MM slash DD slash YYYY
