Lake Champion 2019
July 13-19
Student First Name *
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Student Last Name *
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School *
Graduation Date *
Parent/Guardian First & Last Name *
Your answer
Street Address *
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city *
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state *
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zip *
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Parent/Guardian phone number *
ex: XXX-XXX-XXXX
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Parent/Guardian Email *
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Student T-Shirt Size *
Have you made your $100 deposit? *
Note: You are not on the list until we have received a $100 deposit. Last step offers a pay online option link....
LINK TO PAY FOR CAMP
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