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BMLC Summer Camp 2022
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Student's name
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Birth date
MM
/
DD
/
YYYY
Select Camp(s)
Japanese 6/27 ~ 7/1 Half day
Japanese 6/27 ~ 7/1 Full day
Japanese 7/5 ~ 7/8 Half day
Japanese 7/5 ~ 7/8 Full day
Japanese 7/11 ~ 7/15 Half day
Japanese 7/11 ~ 7/15 Full day
French 7/18 ~ 7/22
French 7/25 ~ 7/29
Guardian's Name
Your answer
Guardian's Email Address
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Phone Number
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Home address
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Emergency Contact Person Name and phone number
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Any Allergies and Medical Conditions
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