Camp Van Go! LLC
Registration for 2021 Summer Camp Van Go! Payment due at registration.
PayPal or Check made payable to Camp Van Go!
Week
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Guardians/Parents MUST sign the Waiver of Liability form upon arrival the first day of camp.
Child's Name *
Date of Birth *
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Grade as of Sept. 1, 2021 *
School *
Parent/Guardian's Name *
Address *
Phone Number Home and Cell *
Email *
Insurance Company *
Insurance # *
PCP and Phone Number *
Allergies
Medical Conditions
Medications
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