2025 Carolina Teen Center Summer Camp Application Form

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* 1. Which camp are you interested in?

Camp Summerville (June 9-27)

Camp Hollywood (July 7-25)

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* 2. Camper Name

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* 3. Camper Age Group

7-10

10-12

13-17

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* 4. Parent/Guardian Name

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* 5. Parent/Guardian Email

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* 6. Parent/Guardian Phone

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* 7. Address

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* 8. What allergies does your camper have, if any?

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* 9. Emergency contact

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* 10. Emergency contact cell phone number