Summer Camp Form

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Summer Camp Form

Contact Full Name *

Email *

Phone number *

Does this phone number accept text messages? *

Yes

School or camp name *

Number of teachers/staff *

Number of parents/chaperones (non-school attendees) *

Desired date (1) *

YYYY

Desired date (2)
*

YYYY

Are you interested in adding gem mining to your package for $5 additional per child? (Summer camp package with Gem Mining add-on is available only to STUDENTS and totals $30 per child. Gem-mining add-on offer is NOT available to adult attendees, chaperones, teachers, and/or parents. Regular Paydirt gem mining bags may be purchased at the Farmers Market for $10.)

Yes

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How did you hear about us? *

Additional details we should know.

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