Spectrum 2017 Family Camp Registration
FAMILY MEMBER INFORMATION
Please list the first and last name of the adult contact for your family's registration
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Please list your street address:
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Please list your city:
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Please list your state and zip code:
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Please list your email address
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Please list a cell phone number to contact parent at the retreat, if needed
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How many people will be attending from your family? You can list each family member attending in the questions following below.
(1) Parent/Guardian Name:
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Please select a t-shirt size for Parent/Guardian (1) [Note that t-shirts will be provided only if budget allows]
(2) Parent/Guardian Name:
Your answer
Please select a t-shirt size for parent/guardian (2) [Note that t-shirts will be provided only if budget allows]
(1) Child's Name/Age:
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For child (1) above, please list any diagnosis, medical concerns or allergies. Please also provide us with any additional information we should know to make this weekend a great experience for your child. Please also complete the Special Needs Camper section for additional information, if applicable. If this child is attending as a typical sibling, please indicate "sibling" below.
Your answer
Please select a t-shirt size for child (1) [Note that t-shirts will be provided only if budget allows]
Do you have additional children to register?
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