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Camper Information
Crossings Camp
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Name of Youth/Camp Participant
*
Your answer
Age of Youth/Camp Participant
*
Your answer
Grade of Youth/Camp Participant
*
Your answer
Sex of Youth/Camp Participant
*
Female
Male
T-Shirt size of Youth/Camp Participant
*
Your answer
Cell number for Youth/Camp Participant
Your answer
Cell number for Parent(s) (please list multiple numbers if applicable)
*
Your answer
Email address for Parent(s) (please list multiple email addresses if applicable)
*
Your answer
Insurance information for Youth/Camp Participant (Please be sure to
include the provider
(ex: Blue Cross/Aetna) as well as the
group AND member number
)
*
Your answer
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