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2023 Camp Ichthus Registration
Registration form for camp
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* Indicates required question
Email
*
Your email
Camper's First and Last Name
*
Your answer
Parents name
*
Your answer
Parent's Address
*
Your answer
Parent's Phone/VP
*
Your answer
Parent's Email
*
Your answer
Gender
*
Female
Male
Required
Age
*
Your answer
Date of Birth
*
Your answer
School
*
Your answer
Grade
*
Your answer
Child is
*
Deaf
Hard of Hearing
CODA (Child/Children of Deaf Adults)
Required
Child's T-Shirt Size
Adult Small
Adult Medium
Adult Large
Adult X-Large
Dietary Restrictions
*
Gluten Free
Diabetic
Allergies
None
Other:
Required
Medications
Your answer
Special Accommodations
Mobility
Low Vision
None
Other:
Emergency Contact (Name and Phone Number)
*
Your answer
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