Lady Raider Individual Camp (July 15th-17th)
Please complete and submit for registration. ($60.00 per session)
Beginner or Advanced Camp *
Child's Name *
Your answer
Grade *
Required
T-Shirt Size *
Required
Guardian Name *
(First, Last)
Your answer
Guardian Contact Phone *
(xxx)xxx-xxxx
Your answer
Guardian Contact Email *
Your answer
Please list any allergies, medical issues, that the clinic staff would need to be aware of. *
Your answer
Other emergency contact *
(xxx)xxx-xxxx
Your answer
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