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Dream Street 2020 Camper Application
Camp Dream Street 2020 Dates:
Sunday, May 24th - Thursday, May 28th
Child's First Name *
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Child's Last Name *
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Child's Preferred Name/ Nickname *
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Sex *
Date of Birth (Month/Day/Year) *
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Age as of May 2020 *
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Height *
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Grade Completed as of May 2020 *
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Weight *
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T-Shirt Size *
Has your child ever been to summer camp before? *
If yes, when and where?
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How did you hear about Camp Dream Street?
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Child's Phone Number
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Child's Email Address
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Name of Parent(s)/ Guardian(s) *
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Relationship to Child *
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Address *
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City *
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State *
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Zip Code *
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Preferred Phone Number *
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Preferred Phone Number Type *
Alternate Phone Number *
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Alternate Phone Number Type *
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Primary Email *
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Child's Primary Doctor *
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Doctor's Phone Number *
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Child's Disability *
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List All Medications *
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List Diet Restrictions *
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List Allergies *
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List Any Recent Surgeries *
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List Mobility Devices Child Uses *
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Please describe any activities of daily living your child may require assistance with. *
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Help us get to know your child by describing your child's interests, personality, etc.
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Is there any other information regarding your child you'd like to share? *
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Your Name *
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Your Phone Number *
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Your Relationship to the Applicant *
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Today's Date *
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