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* 1. Please complete the below information.  One form per camper.

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* 2. Week of Camp: Date and Type of Camp (Summer Zoo Camp, Middle School Camp, High School Camp, Camp No Limits, or Summer Camp Overnight)

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* 4. IMMUNIZATION CONFIRMATION

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* 5. Camper has received the following immunizations: (Please check all that apply).

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* 6. Family Doctor:  (Name and phone number).

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