Camper Registration Form Fall 2018!
Kansas City Urban Young Life will be going to
Clearwater Cove from November 2nd thru November 4th.
Student First Name *
Your answer
Student Last Name *
Your answer
Student Cell Phone Number *
Your answer
School *
Your answer
Current Grade *
Gender *
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Parent/Guardian Phone *
Your answer
*
Required
Parent/Guardian Email Address *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
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