Castaway 2019
Please fill out all information to sign up for the High School Summer Camp Trip 2019
Student Name (First and Last) *
Your answer
Parent Name (First and Last) *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Student E-mail Address *
Your answer
Parent E-mail Address *
Your answer
Student Phone Number *
Your answer
Parent Phone Number *
Your answer
Is this your first time to summer camp? *
School where student attends *
Grade *
T-shirt Size *
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This form was created inside of Greater St. Joseph Young Life.