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Nolen Hills Youth Camp 2020
Parents are required to complete this form for their camper.
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* Indicates required question
Email
*
Your email
Camper Last Name
*
Your answer
Camper First Name
*
Your answer
Gender
*
Male
Female
Age
Your answer
Grade for the 2020-2021 Schoo Year
*
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Super Senior
Pre-Camper (ALL pre-campers must have a parent who is a camp counselor. ALL pre-campers will be under the direct supervision of their parent.
Address (Street, City, State, Zip Code)
*
Your answer
Parent/Guardian (1) Name
*
Your answer
Parent/Guardian (1) Email address
*
Your answer
Parent/Guardian (1) Cell Phone Number
*
Your answer
Parent/Guardian (2) Name
*
Your answer
Parent/ Guardian (2) email address
*
Your answer
Parent/Guardian (2) cell phone number
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Phone Number
*
Your answer
List any restricted activities
*
Your answer
List any allergies
*
Your answer
Shirt Size
*
Small
Medium
Large
XL
Adult S
Adult Medium
Adult Large
Adult XL
Adult XXL
Other:
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