Praise Camp Registration

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* 1. Parent/Guardian Contact Information

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Child Name & Age/Grade Completed

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* 3. Please list any food allergies or medical information.

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* 4. Please select your child t-shirt size.

3T

4T

Extra Small Children's

Small Children's

Medium Children's

Large Children's

Youth

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* 5. Please list who is authorized to pick up your child & their relationship to them.

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* 6. Emergency Contact

Name

Email Address

Phone Number