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ABA Camper Contact Info *required
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Email
*
Your email
Camper Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Age
Your answer
Male/Female
*
Male
Female
Church? Who are you coming to camp with?
Your answer
Teen or Kids Week
Teen Week, completed 7th grade-completed 12th grade
Kids Week, completed 3rd grade-completed 6th grade
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Address
*
Your answer
Parents/ Guardian & Phone
*
Your answer
Emergency Contact & Phone
*
Your answer
Email, camper & parent
*
Your answer
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