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Parent Name
Address
City
State
Zip
Phone
Emergency #
Email
 
 
 
Child(ren's) names, ages, and dates of birth:
NAMES AGES D.O.B.
(mm/dd/yy)

How did you hear about our program?



If "other" please specify:

School Child Attends:



Site Registering For:
(Our Lady of Victory or Niskayuna Reformed)
Registering for,
Check all that apply:
December Break (Dec. 28-Jan. 1)
February Break
April Break
 





       
 
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Member of the
Rensselaer County Regional
Chamber of Commerce.

  TSL Adventures LLC is fully certified to operate by the State Department of Health with permits obtained through the county affiliates in Schenectady and Resnselaear Counties. TSL Adventures is licensed to operate its before and after school programs through the Office of Child and Family Services.

For information about New York State health laws relating to summer camps, call the State Department's Bureau of Community Environmental Health and Food Protection in Troy at 1-800-458-1158, ext 27600.
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