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3C Summer Exploration Camp
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Camper Name (First and last name)
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Your answer
Date of Birth
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DD
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YYYY
Address
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Your answer
Ward
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Your answer
T-Shirt Size
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S
M
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XL
XXL
Parents Name
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Your answer
Parents Address
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Parents Email address
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Your answer
Parents Phone #
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Emergency Contact Name
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Your answer
Emergency Contact #
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Your answer
Will your child be available for the two-week program dates? Aug 7th - Aug 18th
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Yes
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Each child will get $125 in cash at the end of the day on Friday. Do you agree with this payment plan?
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