2025 CAMP AGREEMENT & RELEASE FORM
ACCIDENT WAIVER, RELEASE OF LIABILITY, INDEMNITY/HOLD HARMLESS AGREEMENT
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On A Dragonfly's Wings embraces everyone regardless of race, gender, gender identity, sexual orientation, socioeconomic status, ability, home or first language, religion, national origin, age, or physical appearance.

CAMPER INFORMATION
Camper Name
 *
Gender *
Preferred pronouns
Clear selection
Birthdate *
MM
/
DD
/
YYYY
Age as of June 23, 2025 *
Grade for 2025/26 school year
 *
Home Address *
City *
ZIP *

Language Spoken in the Home

 *
*If anything other than English, please be advised we do not have the resources to provide a translator. 
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