CAMP ASHIRA FORM

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CAMP ASHIRA FORM

Camp ASHIRA will be running July 31st - August 18th M-Th 9:30-3:00 F 9:30-1:00 ($190 Per Week when signing up for the full session, $195 per week for 2/3 weeks, $200 for Week 3 only)

$35 registration fee

At this point, we are prioritizing slots for campers attending for all 3 weeks.

Your application will only be processed upon receipt of registration fee. ASHIRA will email you a confirmation of acceptance.

Thank you!

Email *

Camper's First & Last Name *

Address *

City/ State/Zip *

Home Phone *

Cell Phone *

Camper's Birthday *

Current School/Grade *

Father's Name *

Father's Phone/Email *

Father's Address *

Mother's Name *

Mother's Phone/Email *

Mother's Address *

Emergency Contact- Name/Phone/Email *

Name and Number of a reference to contact about camper- *

Camper's Hobbies *

Specific Camper Needs *

Friend Camper would like to be with: *

Camper allergies? *

Registration Fee Payment

Zelle 612-296-9634

Cash 3709 Severn Rd.

Cash app $AlizaKoval

Camper has a positive attitude? *

OF COURSE!!!!!!!!!!!!!!!!!!!!!!!!!!!!

ALWAYS!!!!!!!!!!!!!!!

Camper ready to have a SUPER DUPER FUN-FILLED SUMMER???? *

YES!!!!!!!!!!!!!!!!!!!!!

TOTALLLYYYY!!!!!!!!!!!!!!!!!!!!!

SUPER EXCITED!!!!!!!!!!!!!!!!!!!!!!!!

Questions/Comments *

Submit

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