1. Welcome!

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25% of survey complete.

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

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

* 3. What is your first name?

* 4. What is your last name?

* 5. What is your street address?

* 6. What City?

* 7. What State?

* 8. What is your zip code?

* 9. What is your home phone #?

* 10. What is your mobile phone #?

* 11. What is your e-mail address?

I will e-mail you to confirm your registration.

* 12. Emergency contact and phone #

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

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