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Summer Camp
Summer Camp 2023
Camper Interest Form
Camper Interest Form
Parent/Guardian
Name:
(Required)
First
Last
Phone
(Required)
Email
(Required)
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Camper
Name
(Required)
First
Last
Date of Birth
(Required)
MM slash DD slash YYYY
Gender
(Required)
Male
Female
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Please select the camp(s) that your child plans to attend: