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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Email *
First Name *
Last Name *
Date of Birth *
Age *
As of today (limited to 7-16 years old when camp 2023 starts)
Full Name 1st Parent/Guardian *
Email 1st Parent/Guardian *
Full Name 2nd Parent/Guardian
Email 2nd Parent/Guardian
Phone Number *
best form of contact
Address - Street *
Address - City *
Address - State *
Address - Zip *
Gender *
If possible who would you like to room with?
T-Shirt Size *
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