2023 Camper Registration Camp Guadalupe 
Dates July 17th thru July 21st - Location St. Mary Magdalen, Media, PA 19063
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How did you hear about Camp this Year?
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Parent #1 First Name *
Parent #1 Last Name *
E-mail *
Parent #1 Cell Phone Number *
Parent # 2 First Name
Parent # 2 Last Name
Parent # 2 Email
Parent # 2 Cell Number
Home Address *
City *
State *
Zip Code *
Emergency Contact Name *
Emergency Contact Number *
Emergency Contact Relationship *
Designated Pick-up Person(s) (Please list names of people who would be picking up your children, other than yourself or spouse)   **If applicable**
How many Campers are you registering? *
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