YoungLives Camp @ Lost Canyon
July 10-14, 2018
Email address *
FIRST NAME *
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LAST NAME *
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Child 1 Name *
Your answer
Child 1 Age *
Your answer
Child 2 Name
Your answer
Child 2 Age
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CHILD 3 (Name, Age)
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Leader Name
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Phone Number *
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Parent/Guardian/Emergency Contact Name *
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Parent/Guardian/Emergency Phone *
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ADDRESS, CITY, ZIP
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Dietary Restrictions *
Required
SHIRT SIZE *
THE COST OF CAMP IS $500 Paid in Full *
I have filled out the health form (link below) for myself and my children *
I understand that once I am at camp I must stay for the duration of the time. *
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