2019 Camp Application
Week 1 June 17-21
Week 2 June 24-28
Email address *
Camper Name *
Your answer
Camper Date of Birth *
MM
/
DD
/
YYYY
Camper's age at time of camp *
Your answer
Camper's grade in the fall of 2019 and school attended *
Your answer
Camper's preferred badge name *
Your answer
Camper's t-shirt size *
Guardian/Custodian Name and Address *
Your answer
Home Phone *
Your answer
Work Phone *
Your answer
Mailing Address (if different from above)
Your answer
E-mail **We prefer to use email as our primary source of communication. If you do not have e-mail or would prefer something else, please let us know the best way to reach you. *
Your answer
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