Hamm Camp 2019: Ages 13-17 Signup Form
Hamm Camp is FREE for Harrisburg residents.
Camp Dates: - July 22-26, 2019
To register, please fill out the form below. We look forward to seeing you at camp! (10am-3pm)
Email address *
Camper First Name *
Your answer
Camper Last Name *
Your answer
Camper Gender *
Harrisburg Resident? *
Camper Street Address *
Your answer
Camper City *
Your answer
Camper State *
Camper Zip Code *
Your answer
Camper Age *
Your answer
Camper Birthday *
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/
DD
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Camper School *
Your answer
Camper T-Shirt Size *
Camper Needs Improvement with... *
Your answer
Camper Allergies *
Your answer
Camper Health Issues *
Your answer
Camper Medications *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Guardian Name *
Your answer
Guardian Phone Number *
Your answer
Guardian Email Address *
Your answer
Total Household Income *
Anything else you would like to ask or share can be written here.
Your answer
How did you hear about Hamm Camp? *
Your answer
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A copy of your responses will be emailed to the address you provided.
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