DUCCamp Camper Registration
Please fill out registration in its entirety.
Child's First Name *
Your answer
Child's Last Name *
Your answer
Gender *
Date of Birth *
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/
DD
/
YYYY
Grade Completed
Age *
Your answer
T-shirt sizes *
Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Primary Phone Number *
Your answer
Email Address *
Your answer
Emergency Name and Phone Number *
Your answer
Is there a friend your child would like to be with? Make sure they register for the same electives!
Your answer
Lunch Options: lunch is provided each day for children 5+
Special Needs/Allergies *
Your answer
Person responsible for Pickup after VBS & Phone number *
Your answer
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