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West Gray Kids Wheelchair Sports Camp Registration
Registration for West Gray summer camp! Please fill out all spaces! Ages for camp are 8-16. Athletes must be able to toilet themselves independently. If a sibling wants to come that is great, we ask that you make them aware that this is a wheelchair camp and participation is highly encouraged!
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Campers Name
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Your answer
Disability
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Your answer
Assistive Devices: (*I.e. Forearm crutches, Braces, Walkers)
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Your answer
Allergies (Food Allergies, Latex precautions)
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Your answer
Email
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Your answer
Address
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Your answer
Phone number
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Your answer
Parents Name:
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Your answer
Sibling Name *If a sibling is coming*
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Your answer
Shirt Size
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Child S
Child M
Child L
S
M
L
XL
Sibling Shirt Size
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XS
S
M
L
XL
No Sibling coming
Other:
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