ASL mini day camp registration
The camp will be at Orchard Heights City Park in Salem, Oregon.
Contact us at (971) 301-2291 or lynell@deafsense.com
Email address
Participant Name
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Participant age
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Referred by (this person will receive a free T-shirt):
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Level of experience with American Sign Language
Required
Any medical concerns? (Staff certified in CPR/First aid present and first aid kit available. If more attention than this is needed you are welcome to accompany your child)
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Any other comments or concerns?
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Parent Name
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Parent's Email
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Parent's Phone Number
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Emergency Contact
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Emergency Contact phone number
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If there is another person authorized to pick up your child, name them here.
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authorized person's phone number
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What Session will you attend? Click all that apply
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I understand that I will need to sign a waiver upon arrival.
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I understand that my child's spot is not reserved until paid for at www.deafsense.com/store
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