2019 Camper Application
First Name: *
Your answer
Last Name: *
Your answer
Called by:
Your answer
Gender *
Age *
Your answer
Grade completed by summer 2019: *
Name of congregation you attend: *
Have you been baptized? *
If you are a visitor, who are you visiting with?
Your answer
Parent / guardian name(s) *
Your answer
Parent /guardian best contact number *
Your answer
Parent /guardian best contact email *
Your answer
Secondary emergency contact name *
Your answer
Secondary emergency contact phone number *
Your answer
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