2020 Camp Registration Form
Please submit one registration per child.
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Please select one: *
First Name *
Last Name *
Age *
Address *
Primary Parent Contact Information *
Please include the name, email, and phone number of a parent or guardian.
Secondary Contact Information
If available, please include the name, email, and phone number of another parent or guardian.
In the event of an emergency, please contact: *
Required
Allergies, Medications, Pertinent Medical History, or other concerns
Photo Release *
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