Camp MASH Mobile 2021 Camper Request
This is the initial form for putting your name on the list for Camp MASH 2021.  Fill out this form completely and we will contact you to let you know if you will be getting one of the spots for Camp MASH 2021.  
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电子邮件地址 *
Camp MASH Mobile 2021
Camp will be Sunday June 13th thru Thursday June 17th, 2021.  Drop off will be from 3pm until 5pm.  Pick up will be from 10am until 12pm.  Spots will be limited and unfortunately not everyone who wants to come will be able to come.   We will be cohorting our cabin groups more than normal.  Our schedule is shorter to shorten the time for any possible exposure.  When you are notified that you are eligible for camp, you will get a more detailed list of protocols and logistics for the week.
Camper Last Name *
Camper First Name *
Camper Birth Date *
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Camper Age at the Start of Camp *
Has Camper Attended Camp MASH Mobile Before *
Parents/Guardian Last Name (Primary Contact) *
Parents/Guardian First Name (Primary Contact) *
Parents/Guardian Email Address (Primary Contact) *
Parents/Guardian Phone Number (Primary Contact) *
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