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Summer @ Massie Registration Form
Please complete a registration form for each camper that will attend.
Email address *
Looking for fun this summer?
Name of Camper
Your answer
Date of Birth
MM
/
DD
/
YYYY
What grade will the camper enter in August, 2017?
List all allergies and medications
Your answer
Parent/Guardian Name
Your answer
Address
Your answer
Phone number
Your answer
Emergency contact
Your answer
Select camp and session
Questions or comments. Guaranteed response within 24 hours.
Your answer
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