St. Mary's Online Camp Registration 2022
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Email *
Student # 1 - First & Name *
Birthdate *
MM
/
DD
/
YYYY
Street Address *
City *
Zip Code *
Father's First & Last Name *
Father's Address (if different than student)
Father's Phone Number *
Father's Email Address *
Mother's First & Last Name *
Mother's Address (if different than the student)
Mother's Phone Number *
Mother's Email Address *
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