Dolphin Camp Application
If you have any questions, contact the Education Department
at (305) 289-1121 ext. 207 or send email to education@dolphins.org
Email address
Student Name
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Nick Name/Name you would like on name tag
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Parent/Guardian Name
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Current Street Address
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City/State/Postal Code
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Home Phone
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Cell Phone
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Office Phone
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Parent Email address
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Student Email address
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Birthdate
MM
/
DD
/
YYYY
Emergency Contact Name/Relationship
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Emergency Contact Phone number
Your answer
Gender
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