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Everest Kids Camp
Participant Registration Form
Participant First Name *
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Participant Last Name *
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Gender *
Grade Entering *
Parent First Name *
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Parent Last Name *
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Address
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Contact Phone 1
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Contact Phone 2
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Parent Email
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City
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State / Province
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Zip
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Allergies
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Medical
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Emergency Contact Name
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Emergency Contact Phone
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Emergency Contact Relationship
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Alternate Pickup Phone
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Alternate Pickup Name
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Additional Comments
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Additional Questions
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