2020 Camp Akalaka Registration
Email address *
Camper Name *
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Age *
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Date of Birth
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/
DD
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YYYY
Gender
Street Address
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City
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State
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Zip Code
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Guardian #1 (Name and Relationship)
Your answer
Guardian #2 (Name and Relationship)
Your answer
Guardian #3 (Name and Relationship)
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Home Phone
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Day Phone
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Cell Phone
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Name of School and Grade Attending Sept 2020
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