Junior High School - Girls Camp 2019
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Email *
First Name *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Parent(Guardian) Name *
Camper's Phone # (optional) *
Parent(Guardian) Phone # *
Home Address (Street /City/ Zip Code) *
List people you wish to be in your cabin (not guaranteed)
Tell us about your camp expectations / wishes / suggestions
Check only if going on a church van
(Additional $15 collected at time of departure)
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