2024 Camp Sertoma Camper Contact Information
Please submit your recommended camper's contact information in the form for the 2024 Camp Sertoma Registration. If you have any questions or issues using the form, please contact Ashlee Robinson by phone at (864) 656-9541 or by email at ashlee7@clemson.edu.
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Camper's Last Name *
Camper's First Name *
Camper's Age *
Male/Female *
Returning Camper?
 *
Parent/Guardian's Name (ex: John Smith) *
Parent/Guardian's Email Address *
Parent/Guardian's Phone Number (ex: 555-555-5555) *
Contact Preference *
Required
Additional Helpful Information (ex: Language Considerations, etc.)
Club *
Representative *
Representative's Email Address *
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