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Summer Camp Interest Form
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Name
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First
Last
Phone Number
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Email
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Referred By
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Returning Camper?
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Yes
No
Onsite Summer Camp or Online Summer Camp (Online camp is live streamed from Onsite camp)
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Onsite Camp
Online Camp
No Preference
Name of Child 1
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Name of Child 2
*
Name of Child 3
*
Weeks of Camp interested
*
June 5 - June 9
June 12 - June 16
June 19 - June 23
June 26 - June 30
July 3 - July 7
July 10 - July 14
Date and Year of Birth - Child 1
*
Date and Year of Birth - Child 2
*
Date and Year of Birth - Child 3
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Weeks of Camp Interested
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July 17 - July 21
July 24 - July 28
July 31 - August 4
August 7 - August 11
August 14 - August 18
August 21 - August 25
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