Camp Chippewa
Summer 2024 Enrollment Form
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Email *
New or Returning Camper *
Camper's First Name *
Campers Last Name *
Camper's Age by June 3rd, 2024 *
Camper's Gender *
Camper's Tribe *
Camper's Date of Birth *
MM
/
DD
/
YYYY
Camper's Grade Completed by June 3rd, 2024 *
Session 1 - 2 Weeks
Session 2 - 2 Weeks
Session 3 - 2 Weeks
Session 4 - 2 Weeks 
Session 5 - 2 Weeks
Camper's Shirt Size *
Camper's School *
Camper's Street Address *
Street Address
Camper’s City and State *
City and State
Camper’s Zipcode *
Zipcode
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