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Wild Week Registration
Youth Camp for Family of Grace (7th-12th group)
Camp Dates: June 25th-29th
Camp Website:
Student Information
Full Name *
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Contact Number *
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Mailing Address *
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Email Address *
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Parent Information
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Parent Name *
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Parent Cell Number *
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Emergency Contact Name *
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Emergency Contact Number *
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Shirt Size *
Does student have any food allergies, physical ailments, or any other medical issues we need to be aware of? *
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