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Summer Camp, 2024 July 22nd - 26th
This form is for Bethel Lutheran Church - Clearwater Summer Camp registration for 2024 year.
Please complete all pertinent sections of this form.
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Child 1 Full Name
*
Your answer
Child 1 Age
*
Your answer
Child 1 Date of Birth
*
MM
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DD
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YYYY
Child 1 Allergies
Column 1
Nuts (Tree or other)
Gluten
Soy
Lactose/Milk
Medications
Insects (Bee, wasp, etc.)
No known allergies
Other...
Column 1
Nuts (Tree or other)
Gluten
Soy
Lactose/Milk
Medications
Insects (Bee, wasp, etc.)
No known allergies
Other...
Special Instructions/Additional Information (anything we need to be aware of regarding your child):
Your answer
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