Summer Camp Registration 2022
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Camper Last Name, First Name *
Camper Grade for the 22-23 school year. *
Are you a returning camper? *
Parent/Guardian #1 Last Name, First Name *
Parent/Guardian #1 email *
Parent/Guardian #1 phone *
Emergency Contact Name (Last, First) *
Emergency Contact phone # *
Food Allergies (please specify) *
If your child takes medicine during camp hours, please specify what and when. *
Please select a t-shirt size for your camper *
Please use the attached option for payment for camp. If not paid then your child is not registered for camp. *
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