2015 Prajna Summer Day Camp Registration
http://tinyurl.com/Prajna-Summer-Camp-2015
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Camp Weeks *
Required
Kid's Name *
Age Group *
Sibling 1 Name
Sibling 1 Age Group
Sibling 2 Name
Sibling 2 Age Group
Mother's Name *
Father's Name *
Parent's email *
Primary phone number *
Allergies
Transportation Required in Weeks
Emergency Contact Name *
Emergency Contact Phone number *
Emergency Contact Email
Town of Residence (for transportation) *
How did you hear about us?
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