Summer Camp Registration
Camper's First and Last Name *
Date of Birth *
MM
/
DD
/
YYYY
School *
Phone Number *
Gift and Talent *
Please list any allergies *
If no allergies, enter N/A
Parent First and Last Name *
Street Address
City *
State *
Zip Code *
Email Address
Contact Number *
Relationship to child *
Parent 2 First and Last Name
Email Address
Contact Number
Relationship to Child
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