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Lamine Baptist Association Children's Camp 2023
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Email
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Your email
Your answer
First Name
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Your answer
Last Name
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Your answer
Gender
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Male
Female
Grade last completed
*
Your answer
Address
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Your answer
City
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Your answer
Zip Code
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Your answer
Parent/Guardian Phone Number
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Your answer
Church you attend
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Your answer
Shirt size
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Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X
Adult 3X
Emergency Contact Person
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Your answer
Emergency Contact Phone Number
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Your answer
Emergency Contact Relationship to the camper
*
Your answer
Person responsible for picking up the camper
*
Your answer
I give permission, to leadership, to administer Tylenol to my child when needed
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Yes
No
I give permission to Lamine Baptist Association to take pictures of campers that may include my child
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Yes
No
I give the camp leadership permission to seek medical help for sickness and/or injuries acquired while at camp
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No
Name of parent/legal guardian who gives permission for the registered camper?
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