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Camp Van Go! LLC
Registration for 2023 Summer Camp Van Go!
Payment due at registration. Checks for $185.00 made payable to Camp Van Go!
Please complete an additional form for each child.
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Summer Camp
Mini 3 Day Make a Movie Camp $125 June 21-23, 2023
June 26-30, 2023 $185
July 3-7, 2023 $185
Both Full Weeks (June 26-30 and July 3-7)
Both Full Weeks AND 3 Day Camp
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Guardians/Parents MUST sign the Waiver of Liability form upon arrival the first day of camp.
Child's Name
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Date of Birth
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YYYY
Grade as of Sept. 1, 2022
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Your answer
School
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Parent/Guardian's Name
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Your answer
Address
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Phone Number Home and Cell
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Email
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Insurance Company
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Insurance #
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PCP and Phone Number
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Allergies
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Medical Conditions
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Medications
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