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2024 Summer Camp Registration
June 10– 15—Summer Camp at Camp Summers & Manget (Teen)
June 17-21—Summer Camp at Camp Summers & Manget (ages 10-12)
June 24-28—Summer Camp at Camp Summers & Manget (ages 6-9)
July 6-12—Summer Camp at Camp Three Forks Trail (ages 13-18)
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Camp Summers and Manget (Teen) (June 10-15)
Camp Summers and Manget (10-12) (June 17-21)
Camp Summers and Manget (6-9) (June 24-28)
Camp Three Forks Trail (Teen) (July 6-12)
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Preferred Name
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Birth Date
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Address
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City
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State
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Zip
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Parent or Guardian
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Phone (Home)
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Phone (Cell)
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Email Address
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Church
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Cabin Roommate Choice (one only)
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I authorize that my child is allowed to sleep on a top bunk. (The bunks do have protective railings)
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Date of last Tetanus Shot
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Medication Needs
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Please include a copy of health insurance card if available.
Allergies
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Any specific activities to be restricted:
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Emergency Contact
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Emergency Contact Phone
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Emergency Contact Second Phone
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