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SIGN-UP for Summer Camp 2019!
Please fill out completely in order to register for WydLife Summer Camp at Lost Canyon! (July 11th-15th, 2019)
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First Name
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Last Name
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Gender
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Male
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School
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Aprende
Altadena
Akimel
KMS
Other:
Pueblo
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Address
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City
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Zip
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Age
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Grade
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6th
7th
8th
Leader
T-Shirt Size
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3XL
Please list any dietary restrictions!
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Parent/Guardian Name
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Parent/Guardian Phone or Cell
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Parent/Guardian Email
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