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Summer Camp Registration
July 18 - July 22 9am - 12noon
Complete 1 form for each child
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Email
*
Your email
Child's Name
*
Your answer
Child's Birthdate
*
MM
/
DD
/
YYYY
Home Address
*
Your answer
Parent/Guardian Name
*
Your answer
Emergency Phone Number
*
Your answer
Allergies
*
Your answer
Photo Release (I allow my child to be photographed and the photos can be used to promote the activities of Saint Barnabas's Episcopal Church)
*
Yes
No
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