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Summer Camp Interest Form
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Last
Phone Number
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Referred By
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Name of Child 1
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Name of Child 2
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Name of Child 3
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Weeks of Camp interested
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June 1 - June 5
June 8 - June 12
June 15 - June 19
June 22 - June 26
June 29 - July 3
July 6 - July 10
Date and Year of Birth - Child 1
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Date and Year of Birth - Child 2
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Date and Year of Birth - Child 3
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Weeks of Camp Interested
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July 13 - July 17
July 20 - July 24
July 27 - July 31
August 3 - August 7
August 10 - August 14
August 17 - August 21
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