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New Life Day Camp Registration July 11-15, 2022
Please complete all sections. If you have any questions please email us at info@NLBaptist.com
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* Indicates required question
Email
*
Your email
This form must be completed by a parent or legal guardian
*
I am the parent of this camper
I am the legal guardian of this camper
Full Name of Parent or Legal Guardian Completing This Form
*
Your answer
Campers First Name
*
Your answer
Campers Last Name
*
Your answer
Campers Age
*
Your answer
Last Completed Grade
*
K
1st
2nd
3rd
4th
5th
6th
Camper's Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Camper's Birthdate
*
MM
/
DD
/
YYYY
Parent's Cell Phone
*
Your answer
Parent's Email
*
Your answer
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