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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 1 - June 4
June 7 - June 11
June 14 - June 18
June 21 - June 25
June 28 - July 2
July 5 - July 9
Date and Year of Birth - Child 1
*
Date and Year of Birth - Child 2
*
Date and Year of Birth - Child 3
*
Weeks of Camp Interested
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July 12 - July 16
July 19 - July 23
July 26 - July 30
August 2 - August 6
August 9 - August 13
August 16 - August 20
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