Camp Ginkgo Registration
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Email *
Child Name *
Child Age *
Date of Birth *
MM
/
DD
/
YYYY
Sex *
School Child Attends *
Child's T-shirt Size *
Emergency Contact Name *
Emergency Contact Phone *
Who is Authorized to pick up your child? *
Parent Name *
Parent Email *
Parent Phone *
Address *
Indicate Payment Type or Request Scholarship *
Make An Online Payment
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