YL East/Preble - Timber Wolf Lake 2019 Camp Registration
Please fill out this form to register for camp. Once you submit all your information you will be prompted to click on a link to our online payment site where you will pay the $20 deposit (if you haven't already done so). CAMP DATES are June 26-July 1, 2019
Student's First Name *
Your answer
Student's Last Name *
Your answer
Street Address (including Apt# if applies) *
Your answer
City, State *
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Zip Code *
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School Attending *
If your school is NOT listed above, please fill in the box below with your school name.
Your answer
YL Club Attended *
Gender *
Required
Current Grade in School *
Student's Name on Facebook *
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Student's Email Address *
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Student's Cell Ph# (If you do not have a cell phone, please enter "none") *
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Student's T-Shirt Size *
Parent/Guardian(s) First Name(s) *
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Parent/Guardian(s) Last Name *
Your answer
Parent/Guardian Preferred Ph# *
Your answer
Parent/Guardian Email
Your answer
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