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Safety Town Application 2019


  1. 1. Child and Camp Information
  2. 2. Medical and Emergency Contact Information:
  3. 3. Parent / Guardian Information:
  4. 4. Payment Information
  5. 5. Waiver:
  • Child and Camp Information

    1. Safety Town Logo

    2. Safety Town is a program designed for rising kindergartners. The program is offered in June and space is limited. Application approvals are on a first come, first serve basis with preference given to Huntersville residents. Safety Town 2019 will be located at Lake Norman Charter Middle School (12435 S Old Statesville Rd, Huntersville, NC 28078). Children can be dropped off and picked up at the rear of the building.

    3. Please give their first and last name.

    4. Please list their name, relationship, and contact number.