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NECS Nature Connection Camp 2021
July 5 - July 30 - 9am - 12 PM, Age 11 - 14
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Student's Name (First and Last)
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Siblings Name (if applicable)
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Student's Age
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Sibling Age (if applicable)
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Student's phone Number (if applicable)
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Student's email (address if applicable)
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Parent/Guardian Name
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Parent/Guardian Phone Number
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Parent/Guardian Email Address
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Emergency Contact Name (first/Last)
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Emergency Contact Phone Number
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Dates Attending (2 Weeks Minimum)
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