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ECO-Explorer Day Camp Registration
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Camper and Parent/Guardian Information
Child's First and Last Name
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Your answer
2nd Child's First and Last Name
Your answer
3rd Child's First and Last Name
Your answer
Child's Date of Birth
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MM
/
DD
/
YYYY
2nd Child's Date of Birth
MM
/
DD
/
YYYY
3rd Child's Date of Birth
MM
/
DD
/
YYYY
Parent or Guardian First and Last Name
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Your answer
Parent or Guardian Address
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Your answer
Parent/Legal Guardian Phone number
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Your answer
Email Address
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Your answer
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List anyone camper can be released to that is not the parent or guardian.
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