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Princess Camp Registration Form
Event Timing: June 11th-13th, 2024 (9am - 12pm)
Event Address:
319 McDaniel Street, Monroe, GA, 30655
Cost: $150 (Ages 5-11)
Contact us at
770.267.5602
or
info@mcdaniel-tichenor.org
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* Indicates required question
Princess Information
Name
*
Your answer
Street Address
*
Your answer
City, State, Zip
*
Your answer
Birthday
*
Your answer
Age
*
Your answer
Grade completed
*
Your answer
Name of school
*
Your answer
Parent's Information
Mother/Guardian Name
*
Your answer
Cell Number
*
Your answer
Work Number
*
Your answer
Email
*
Your answer
Father/Guardian Name
*
Your answer
Cell Number
*
Your answer
Work Number
*
Your answer
Email
*
Your answer
Emergency Information
Emergency Contact (other than parent)
*
Your answer
Emergency Number
*
Your answer
Insurance Company
*
Your answer
Policy Number
*
Your answer
Group Number
*
Your answer
Medical Information:
List any allergies:
*
Your answer
Other medical concerns:
*
Your answer
Before submitting the form, please click
HERE
to make your online payment for this year's Princess Camp. Or you can mail a check payable to "McDaniel-Tichenor House" to
319 McDaniel Street, Monroe, GA, 30655.
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