* 1. Camper's Name

* 2. Gender Identity

* 3. Age, Grade (2017-18) and School

* 4. What is your street address?

* 5. Parent Information

* 6. T-shirt size

* 7. Dietary Restrictions and Allergies

* 8. I understand that payment and medical release are due on the first day of camp. $75 per camper; $50 per additional sibling in each single family.

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