2017 DON EDDY CAMP APPLICATION
Complete and send payment to 136 Haven Ridge Drive, Rockwall, TX 75032
Make checks payable to Don Eddy Camps or call 469-847-2400 to pay with d debit or credit card.
Email address
Camper First Name
Your answer
Camper Last Name
Your answer
Gender
Required
Age
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Grade in Fall 2017
Your answer
Shirt size
Are You a Repeat Camper?
Did You Attend Our Camp Last Summer?
Parent First Name
Your answer
Parent Last Name
Your answer
Cell Phone
Your answer
Name of Emergency Contact
Your answer
Emergency Contact Phone
Your answer
Your Mailing Address
Your answer
City
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State
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Zip Code
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Day Camp Attending $200
Overnight Camp Attending $400
Name of Overnight Camp Roommate
Your answer
Permission to Dispense Only These Medicines
Required
My Child Has These Allergies
Your answer
Waiver of Claims.I, as a parent or guardian give my child permission to participate in the camp.I acknowledge that I will be responsible for any cost incurred due to injury or sickness to my child. I hereby waive any claims against Don Eddy I Inc.and the institution providing the facilities.
Parent Initials
Your answer
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