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Camp Van Go! LLC
Registration for 2020 Winter 3 Day Camp Van Go!
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Guardians/Parents MUST sign the Waiver of Liability form upon arrival the first day of camp. Check or Cash payment. Checks should be made out to Camp Van Go.
Child's Name
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Date of Birth
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DD
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YYYY
Grade as of Sept. 1, 2019
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School
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Parent/Guardian's Name
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Your answer
Address
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Phone Number Home and Cell
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Email
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Insurance Company
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Insurance #
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PCP and Phone Number
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Allergies
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Medical Conditions
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Medications
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