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2021 Youth Camp Cancellation Request
Please fill out all the fields below to process the cancellation request on time. If you have any questions please contact the camp coordinators via email:
jchyk@chinmayadc.org
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Camper's Last Name, First Name (Write all names if more than one)
*
Your answer
Responsible Parent's Full name
*
Your answer
Responsible Parent's Email Address
*
Your answer
Mailing Address
*
Your answer
To Whom The Check Payable to?
*
Your answer
Reason for the Cancellation
*
Your answer
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