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2023 Camper Registration
Complete this form to the best of your ability, if you have questions send them to
director@campmitiog.org
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* Required
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Age
*
As of today (limited to 7-16 years old when camp 2023 starts)
Your answer
Full Name 1st Parent/Guardian
*
Your answer
Email 1st Parent/Guardian
*
Your answer
Full Name 2nd Parent/Guardian
Your answer
Email 2nd Parent/Guardian
Your answer
Phone Number
*
best form of contact
Your answer
Address - Street
*
Your answer
Address - City
*
Your answer
Address - State
*
Your answer
Address - Zip
*
Your answer
Gender
*
Male
Female
Roommate
If possible who would you like to room with?
Your answer
T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
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