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Parent / Guardian Information
Name
Phone
Email Address
Street Address
*
Include City, State, and ZIP
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Name
Phone
Email Address
Street Address
Include City, State, and ZIP
Camper #1 Info
Name
Gender
Male
Female
Date of Birth
Special Notes For This Camper
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Camper #2 Info
Name
Gender
Male
Female
Date of Birth
Special Notes For This Camper
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Camper #3 Info
Name
Gender
Male
Female
Date of Birth
Special Notes For This Camper
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Camper #4 Info
Name
Gender
Male
Female
Date of Birth
Special Notes For This Camper
Do you have more campers?
Add Another Camper
Camper #5 Info
Name
Gender
Male
Female
Date of Birth
Special Notes For This Camper
How many days would you like us to provide your campers lunch?
Your child will need lunch each day except Friday when we have a pizza party! We provide lunches for just $5.
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