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Please provide the following information.
(*) denotes a required field
Additionally, you must enter a name and e-mail address for at least one parent.
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Parent 1 |
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Parent 2 |
| Relationship |
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Relationship |
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| First Name |
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First Name |
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| Last Name |
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Last Name |
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| Work Phone |
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Work Phone |
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| Cell Phone |
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Cell Phone |
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| E-mail |
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E-mail |
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| Family Contact Information |
| Country |
(if not US) |
Address Line 1 |
* |
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Home Phone |
* |
Address Line 2 |
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Best time to reach you |
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| City |
* |
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How did you hear about us?
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*
Please specify *
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| State |
*
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| Zip |
* |
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Whom should we contact?
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Child 1 |
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Child 2 |
| First Name |
* |
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First Name |
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| Last Name |
* |
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Last Name |
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| Date of Birth |
* |
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Date of Birth |
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Grade
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(Sept.
2009
)* |
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Grade
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(Sept.
2009
)
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| School |
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School |
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Season Interested In |
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Season Interested In |
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Previous Camp Experience |
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Previous Camp Experience |
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| Interests |
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Interests |
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Brief Description of your child |
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Brief Description of your child |
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Children's privacy is of primary concern to us, and our
Policy and practices reflect applicable
laws and regulations on children's privacy. We do not knowingly collect
personal information from
children under 18 years of age. Any communication we get that is
identified as being from a child
under 18 will be immediately removed from our database. All information
gathered from our camp
families is used exclusively for camp, and no third-party vendors. We
urge parents to regularly monitor and supervise their children's on-line activities.
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