2024 Summer Camper Information
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Email *
Which camp session is your child attending?  (BE SURE TO CLICK THE CORRECT SESSION.) *
Child's LAST NAME *
Child's FIRST NAME *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Address *
Parent/Guardian Name (s) *
Parent/Guardian Address *
Parent/Guardian Phone Number *
Emergency Contact #1 Name *
Emergency Contact #1 Phone Number (include area code) *
Emergency Contact #2 Name *
Emergency Contact #2 Phone Number (include area code) *
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