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2024 Day Camp Application
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Camper Name
*
Your answer
Camp Dates
June 3-4, 2024 (ages 5-8)
June 10-11, 2024 (ages 8-11)
July 1-2, 2024 (ages 5-8)
July 8-9, 2024 (ages 8-11)
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Camper Address
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Date of Birth
*
MM
/
DD
/
YYYY
Camper Gender
*
Male
Female
Age While at Camp
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Upcoming Grade Level
*
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Parent/ Guardian Name
*
Your answer
Parent/ Guardian Address
*
Your answer
Parent/ Guardian Phone number
*
Your answer
Parent/ Guardian Email
*
Your answer
Secondary Emergency Contact Name, address, and phone number.
*
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