Alumni Registration for Empowerment Day

(Parents whose campers are attending 1st Session are asked not to volunteer)

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* 1. Name (First, Last, Maiden and Nickname)

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* 2. Address:

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* 3. Years at Camp

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* 4. Professional and Non-professional work experience

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* 5. Schools attended

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* 6. Will you need babysitting (provided for ages 3 and up)?

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* 7. Are there any dietary restrictions?

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* 8. Any additional comments

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