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2019 Camper Registration
Email address *
Which Week? *
Required
Do you want your child in Surf & Turf Junior? (Ages ~9-10)
Camper's First Name *
Your answer
Camper's Last Name *
Your answer
Address of Camper *
Your answer
Child's Phone Number (if they have a phone)
Your answer
Parent #1 Full Name *
Your answer
Parent #1 E-mail *
Your answer
Parent #1 Phone Number *
Your answer
Parent #2 Full Name
Your answer
Parent #2 E-mail
Your answer
Parent #2 Phone Number
Your answer
Information your would like us to know about your child. (Allergies, personal issues, friends, etc) If none, please type "None" *
Your answer
Emergency Contact Name and Number (Please not a repeat of a previously given number) *
Your answer
Pediatrician Name and Number *
Your answer
Camper's Age as of July 1, 2019 *
Your answer
Camper's School *
Your answer
How did you hear about us?
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