Craughwell AC Summer Camp Registration Form
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Name of child *
Date of Birth *
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Name of Second Child (If applicable)
Date of birth of Second Child
MM
/
DD
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YYYY
Name of Third Child (If Applicable)
Date of Birth of Third Child (If Applicable)
MM
/
DD
/
YYYY
Parent/Guardian Name *
Contact Number *
Parent/Guardian Email *
Secondary Contact Name *
Secondary Contact Number *
Any medical issues ( If none type N/A) *
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