Paleo Play / Larch Camp, July 6-9, 2020 Ages 8-11
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Child's First Name: *
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Child's Last Name: *
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Child's Age:
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Parents/Legal Guardian Name(s): *
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Phone Number (daytime): *
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Alternative/Emergency Phone Number: *
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Does your child have any allergies/medical conditions? *
If yes, please specify
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Will you permit photos and/or video to be taken of your child and displayed and/or used for promotions by Paleo Play? *
We will not publish childrens' names with any images.
Please make sure to fill out your Medical + Waiver forms (which you will receive via email) *
Indicate below how you will be returning your forms.
Please indicate your method of payment. *
Fees: $245 per child for Larch Camp 2020 Session
Can your child swim? *
If you answered yes to the above question. What swim level have they achieved?
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A copy of your responses will be emailed to the address you provided.
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