Hope Christian Summer Camp
Hope Christian Summer Camp
Hope Christian Summer Camp
Camper's Name *
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Age *
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Date of Birth *
MM
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DD
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YYYY
Gender (M/F) *
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T-Shirt Size *
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Phone Number *
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Street Address *
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City *
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Address *
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City *
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State *
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Zip Code *
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Allergies
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Current Medications
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# in Family
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Guardian #1 Name
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Guardian #1 Relationship
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Guardian #1 Email Address
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Guardian #1 Phone Number *
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Guardian #2 Name
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Guardian #2 Relationship
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Guardian #2 Email Address
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Guardian #2 Phone Number *
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Authorized to Pick Up - Name 1
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Authorized to Pick #1 - Phone Number *
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Authorized to Pick Up - Name 2
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Authorized to Pick #2 - Phone Number *
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Authorized to Pick Up - Name 3
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Authorized to Pick #3 - Phone Number *
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Authorized to Pick Up - Name 4
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Authorized to Pick #4 - Phone Number *
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# in Family
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