Summer Camp Registration
When: July 23-26, 2019
Contact us at
Camper's Date of Birth
Camper's Emotional Age
This child is living with:
Name(s) of person(s) this child is living with:
Moved in foster placement how many times:
Explain any unusual family circumstances that make camp especially important for the child:
(for example: recent crisis, being moved in foster placement, severe economic needs, etc.)
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