Summer Camp Form
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Name *
Email *
Phone Number *
Does this phone number accept text messages? *
Camp Name *
Number of Students/Campers *
Number of Teachers/Staff *
Number of Parents/Chaperones *
Date 1 *
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DD
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YYYY
Date 2
*
MM
/
DD
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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.)
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