Junior High Camp Camper Registration 2022: Medical Form
Camp Dates: June 26th-July 1st || Location: Lodestar, Wilseyville, CA

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General Info
Camper Name (First, Last) *
Camper Date of Birth *
MM
/
DD
/
YYYY
Address (Address, City, State, Zip) *
Phone # (Parent/Guardian) *
Parent/Guardian Name *
Parent/Guardian Email *
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