Camp Reynal 2021 - Camper Box Request Form

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The camper box includes

Camper Name *

Camper Date of Birth *

YYYY

Camper Home Address *

Parent/Guardian Phone Number

Camper T-Shirt Size *We will attempt to get you your desired shirt size but due to ordering deadlines, we may have to send a different size* *

How would you like to receive your camper box? *

Children's Medical Center Dallas - Pickup at Dialysis/Clinic Appointment

Cook Children's Fort Worth - Pickup at Dialysis/Clinic Appointment

Mail to Home Address

“Would your camper like to participate in a Zoom session during the week of camp? (The Zoom session will be hosted by Camp Reynal child life specialists and will include activities and games.) * More details to come regarding date and time.” *

Yes

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