2021 Camp Akalaka Registration
Are you ready for fun in the sun during the Summer of 2021?
Email address *
Camper Name *
First & Last
Age *
Date of Birth
MM
/
DD
/
YYYY
Gender
Clear selection
Street Address
City
State
Zip Code
Guardian #1 (Name and Relationship)
Guardian #2 (Name and Relationship)
Guardian #3 (Name and Relationship)
Home Phone
Day Phone
Cell Phone
Name of School and Grade Attending Sept 2020
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