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Passport Camp Registration Form 2022
Registration form to Attend Passport Camp with FPC at Greensboro College July 11-14, 2022.
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Child's name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's current grade for the 2021-22 school year *
Parent/Guardian Name *
Parent/Guardian Primary Phone # *
Parent/Guardian Primary Email Address *
Alternate Emergency Contact Adult Name *
Emergency contact relationship to student *
Emergency Contact Phone # *
Please list any allergies student has
Please list any medications student is currently taking
Please list any medical concerns student has
Please list any dietary restrictions student has
If possible, my child would like to room with: (I cannot guarantee that specific requests will be possible, but I will do my best to consider them when assigning rooms. There will be two students per room.)
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