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Day Camps
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Parent/Gaurdian First Name & Last Name
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Emergency Contact
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Emergency Phone Number
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Child First Name & Last Name
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Child Age
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Child Grade
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Child School
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Allergies (if none write n/a)
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Dietary Restrictions (if none write n/a)
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Injuries (if none write n/a)
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Medical Conditions (if none write n/a)
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Medical ID #
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Medical Insurance Provider
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