Outdoor Summer Camp – Sign Up

Application Form:

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Number Parent's Name

Child's Name *

First

Last

Age *

Age when at camp

Sex *

M / F / NA

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 allegeries:

Additional Details or Questions

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