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2023 Camp Registration - Parents
To be completed by a PARENT of any Young Woman who will be attending camp. Parents should COMPLETE A SEPARATE FORM FOR EACH YOUNG WOMAN who will be attending camp.
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Email
*
Your email
"Life Rocks" August 15-18
First Name of Participant (Young Woman)
*
Your answer
Last Name of Participant
*
Your answer
Ward/Branch
*
Elkhorn
Kenosha 1
Kenosha 2
Kettle Moraine
Lake Mills
Milwaukee Spanish
Muskego Lakes
Oak Creek
Paddock Lake
Racine
West Allis
Participant's Date of Birth
*
Your answer
Address (address, street, state, zip code)
*
Your answer
Your Name (parent/guardian)
*
Your answer
Your Phone Number(s)
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact's Phone Number(s)
*
Your answer
Relationship of Emergency Contact to Young Woman
*
Your answer
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