Asian Camp Counselor Registration 2020: Medical Form

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Asian Camp Counselor Registration 2020: Medical Form

Camp Dates: July 19th-25th Location: Lodestar, Wilseyville, CA

Thank you for taking the time to complete your online Registration! Please make sure all of your info is correct before submitting and submit your Registration only once.

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Basic Information

First Name *

Your answer

Last Name *

Your answer

Date of Birth (MM/DD/YYYY)

Your answer

Gender *

Your answer

Address (Address, City, State, Zip) *

Your answer

Phone# (camper) *

Your answer

Parent Email *

Your answer

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