Emergency Contact Summer Camp
Please fill out this form for an emergency contact list and approved pick up list.
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Parent Last name *
Parent First name *
emergency contact number *
1st Child's name *
1st Child's age *
1st Child's T-shirt size *
2nd Child's name
2nd Child's age
2nd Child's T-shirt size
Clear selection
3rd Child's name
3rd Child's age
3rd Child's T-shirt size
Clear selection
Dates registered *
Required
Approved names for pick up *
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