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Camp Netzach Boca Registration Form
$250 registration fee must be made to hold your spot, the remaining payments must be made in full by March 1st to receive early bird pricing ($365 a week)
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* Indicates required question
Campers full name
*
Your answer
Birthday
*
Your answer
Current Grade
Your answer
Age in camp
*
Your answer
School
*
Your answer
Parent/Guardian Name and number
*
Your answer
Parent/Guardian Name and Number
Your answer
Home Address
Your answer
Weeks
Week 1 June 22-June 26
Week 2 June 29-July 3
Week 3 July 6-July 10
Week 4 July 13-July 17
Week 5 July 20-July 24
Week 6 July 27-July 31
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