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2019 Empower Camp Wait List
Our 2019 Empower Camp received an overwhelming response and all spots have been filled! Please fill out this form to be added to our waiting list. We will reach out to you via the contact method selected below if a spot becomes available. Spots will be filled in the order in which the wait list request is received.
Camper Name (First & Last) *
Your answer
Parent/Guardian Name *
Your answer
Today’s Date *
MM
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DD
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YYYY
Address (Street, Town, State, Zip Code) *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
How would you like to be contacted if a spot becomes available? *
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