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2024 Camper Registration Camp Guadalupe
Dates June 24th thru June 28th - Location St. Mary Magdalen, Media, PA 19063
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How did you hear about Camp this Year?
Church Bulletin
Email
Word of Mouth
Previous Camper/Volunteer
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Parent #1 First Name
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Parent #1 Last Name
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E-mail
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Parent #1 Cell Phone Number
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Parent # 2 First Name
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Parent # 2 Last Name
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Parent # 2 Email
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Parent # 2 Cell Number
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Home Address
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City
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State
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Zip Code
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Emergency Contact Name
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Emergency Contact Number
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Emergency Contact Relationship
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Mother
Father
Grandparent
Aunt or Uncle
Sibling
Neighbor/Friend
Nanny/Babysitter
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Designated Pick-up Person(s) (Please list names of people who would be picking up your children, other than yourself or spouse) **If applicable**
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How many Campers are you registering?
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