Outdoor Summer Camp – Sign Up

Application Form:

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Child's Name *

First

Last

Age *

Age when at camp

Sex *

M / F / NA

Selection Additional Email

Town of Residence *

Camp Week Selection

Parent's Name *

First

Last

Parent's Email *

Parent's Phone Number *

Emergency Contact *

First

Last

Emergency Contact's Phone Number *

Please specify any allergies: *

Include allergies or specific NA / None

Additional Details or Questions

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