Overnight Teen Camp Application
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Email *
Camper Name *
Campers T-Shirt Size *
Camp Session Attending
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Camper Address *
Date of Birth *
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/
DD
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Camper Gender *
Age While at Camp
Upcoming Grade Level *
Parent/ Guardian Name *
Parent/ Guardian Address *
Parent/ Guardian Phone number *
Parent/ Guardian Email *
Secondary Emergency Contact Name, address, and phone number. *
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