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25% of survey complete.
What is your camper's first name?

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* 1. What is your camper's first name?

What is your camper's last name?

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* 2. What is your camper's last name?

What is your first name?

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* 3. What is your first name?

What is your last name?

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* 4. What is your last name?

What is your street address?

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* 5. What is your street address?

What City?

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* 6. What City?

What State?

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* 7. What State?

What is your zip code?

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* 8. What is your zip code?

What is your home phone #?

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* 9. What is your home phone #?

What is your mobile phone #?

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* 10. What is your mobile phone #?

What is your e-mail address?

I will e-mail you to confirm your registration.

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* 11. What is your e-mail address?

I will e-mail you to confirm your registration.

Emergency contact and phone #

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* 12. Emergency contact and phone #

What grade is your child going into next year?

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* 13. What grade is your child going into next year?

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