Youth Camp 2024
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Email *
Student First Name *
Student Last Name *
DOB *
MM
/
DD
/
YYYY
Grade *
Home Address (Address, city, state, zip) *
Student Phone Number *
Parent / Guardian Full Name *
P/G Email Address *
P/G Phone Number *
Camp Shirt? *
If yes, camp shirt size
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Food Card ($5 each) *
If yes, how many
A copy of your responses will be emailed to the address you provided.
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