Sgt. Joel A House Summer Camp Application
Please provide us with the following information

Email Address
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Your Name: *
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Your Telephone Number: *
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Your Mailing Address:
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Your Grade in School: *
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Your School's Name: *
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Summer Camp's Name: *
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Summer Camp Contact Person: *
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Summer Camp Telephone Number: *
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Summer Camp Email: *
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Summer Camp Mailing Address *
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Summer Camp Week or Program You Will Attend: (have you already registered with camp? *
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Cost of Tuition:
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Permission to Use Your Name & Essay: *
Written Reflection "Why Freedom Isn't Free" (NOTES: please do your best job since this is the #1 way we screen for who gets what award amount. Younger children can have parents help out, including doing the typing of child's reflection.) *
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