HSEP Camper Application 2019
Please complete a separate form for each camper.
Email address *
Camper First Name *
Your answer
Camper Last Name *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Camper Email Address
Your answer
Main Phone Number *
Your answer
Additional Phone Number
Your answer
Male/Female *
Birthdate *
MM
/
DD
/
YYYY
Age at Camp *
Grade Level Fall 2019 *
Your answer
Next
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