Registration Forms
Participant name:
Participant Address:
Participant Parent Contact
:
Email address:
Phone number:
Credit Card Type:
Credit Card Number:
Credit Card
Expiration Date:
Comments:
D
i
v
e
r
s
i
t
y
S
o
u
p
Academic and Enrichment Services
214-336-2043
offices@diversitysoup.net
Registration Form for
Summer Camp Programs
Registration fee
for all summer
camps is $35.00
per person
