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Calling our Fredericksburg-area ASK kids for a week of fun, summer camp-style! Guests will visit and have cool things to do, plus we’ll hang out, play games, and get to know our ASK “family” better.
 
Monday, June 12th - Friday, June 16th, 2023

Camp is from 9 a.m. - 3 p.m.

Fredericksburg United Methodist Church
308 Hanover Street
Fredericksburg, VA 22401
 
Camp is open to our rising 1st – 12th grade ASK kids and their siblings. Rising 7th - 12th graders will be our "junior counselors," and can receive volunteer hours for their service if they wish. Please register all participating kids in your household below, both campers and counselors.

Spaces are limited, so please sign up today!

*COVID-19 Mask Policy: ASK social events and programs are now open to families with a child currently in active treatment. To keep our immunocompromised populations as safe as possible, indoor mask requirements will be decided based upon the CDC Covid-19 Community Level for the locality in which the event will take place, and will be disclosed prior to each event. For the full policy, click here.

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* 1. Participant 1's First & Last Name

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* 2. Participant 1's Date of Birth

Date

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* 3. Participant 1's School

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* 4. Participant 1's Rising Grade (the grade they're going into this fall)

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* 5. Does Participant 1 have an

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* 6. Participant 1's Allergies or Physical Limitations

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* 7. Participant 1's t-shirt size

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* 8. Participant 2's First & Last Name

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* 9. Participant 2's Date of Birth

Date

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* 10. Participant 2's School

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* 11. Participant 2's Rising Grade (the grade they're going into this fall)

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* 12. Does Participant 2 have an

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* 13. Participant 2's Allergies or Physical Limitations

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* 14. Participant 2's t-shirt size

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* 15. Participant 3's First & Last Name

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* 16. Participant 3's Date of Birth

Date

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* 17. Participant 3's School

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* 18. Participant 3's Rising Grade (the grade they're going into this fall)

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* 19. Does Participant 3 have an

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* 20. Participant 3's Allergies or Physical Limitations

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* 21. Participant 3's t-shirt size

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* 22. Participant 4's First & Last Name

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* 23. Participant 4's Date of Birth

Date

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* 24. Participant 4's School

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* 25. Participant 4's Rising Grade (the grade they're going into this fall)

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* 26. Does Participant 4 have an

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* 27. Participant 4's Allergies or Physical Limitations

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* 28. Participant 4's t-shirt size

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* 29. Parent's Cell Phone Number

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* 30. Parent's Email Address

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* 31. Emergency Contact First and Last Name

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* 32. Emergency Contact Cell Phone Number

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* 33. ASK Child's Home Mailing Address

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* 34. Signature Release:

By choosing an option below, you give your permission to share of the above information with the staff at ASK Childhood Cancer Foundation. This information will remain confidential and will only be used within the ASK organization.

This allows your child (if your child is under age 18) to be photographed/filmed during ASK Summer Enrichment. These pictures or videos may be used for the promotion of ASK through emails, flyers, mailers, or ASK social media.

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