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2024 Roseville Young Women Camp Registration
Treasure Mountain
June 10-13, 2024
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* Indicates required question
Email
*
Your email
Last Name of Young Woman
*
Your answer
First Name of Young Woman
*
Your answer
Ward
*
Choose
Roseville 1
Roseville 2
Roseville 3
Roseville 4
Roseville 5
Roseville 6
Roseville 7
Roseville 8
Roseville 9
If visiting, with whom are you attending?
Your answer
School Grade
Enter the grade she will be ENTERING in the 2024-2025 school year.
*
Choose
6th grade (Please note, those YW entering 6th grade will repeat their first level of camp)
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Date of Birth
*
MM
/
DD
/
YYYY
Young Woman's Cell Phone Number
If they do not have a cell, or you do not want to provide that information, leave the field blank.
Your answer
Participant's Parent/Guardian Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Address
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Phone Number
*
Your answer
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