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Pineview Youth Camp Sign up
June 30 - July 2 (1PM-6PM)
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Name (first and last)
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Gender
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What grade will you be going into in the fall?
6th
7th
8th
9th
10th
11th
12th
College
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Age
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School you'll attend in the fall
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Emergency Contact (Name, relation to student, contact number)
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Parent/Guardian Contact (Name, Number, E-mail)
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Student Phone number (if applicable)
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Anything we need to know? (Allergies? Physical or learning challenges?)
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