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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 3
June 6 - June 10
June 13 - June 17
June 20 - June 24
June 27 - July 1
July 4 - July 8
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 11 - July 15
July 18 - July 22
July 25 - July 29
August 1 - August 5
August 8 - August 12
August 15 - August 19
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