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2020 Camp Power Application
Date *
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First Name *
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Last Name *
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Street Address *
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City *
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State *
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Zip Code *
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Preferred Phone *
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Type of Phone *
Email *
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Age on June 1, 2020 *
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Date of Birth *
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Gender
Denomination *
Church *
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Dietary Needs
Allergies & Health Issues *
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How do you manage your Allergy & Health Issuses (Put N/A if not applicable) *
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Emergency Contact Name *
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Emergency Contact Relationship *
Emergency Contact Phone Number *
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Additional / Special Comments *
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Acceptance of Camp Covenant & Camp Policies *
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