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MABC Jr High Winter Camp Registration
Woot! We're heading up to Owen Sound for our annual junior high winter camp.

Details:
- Word of Life Recharge Camp
- Dates: Mar 3 to 5, 2018
- Cost: $110 per student, $90 for each additional sibling

- Please get the following items to me:

1. This registration form (please fill out 1 form per child)
2. An MABC medical consent form (if you haven't already): https://drive.google.com/open?id=0BwEklnPYYpjORlZtY242cTZfY0U
3. Payment for camp (please drop off in my mail slot at church, or send it with your child to youth)

- Yuta

Email address *
First Name *
Your answer
Last Name *
Your answer
Gender *
Grade *
Emergency Contact *
Your answer
Emergency Contact Phone Number *
Your answer
Any physical, medical, allergy information that we should be aware of? *
Your answer
Have you filled out the MABC authorization and medical consent form? (If you haven't, please be sure to get one from Yuta and send it with your child to youth group) *
Do you require financial assistance in paying for camp? *
A copy of your responses will be emailed to the address you provided.
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