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* 1. Camper information

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* 3. Guardian's information (if applicable)

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* 4. Emergency contact information (if different from Parent/Guardian)

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* 5. Name of camper's Service Coordinator (if applicable)

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* 6. Please indicate any relevant health, behavior, or other concerns such as allergies, physical limitations, sensory issues, emotional challenges, communication challenges, dietary restrictions, and/or other information that would be beneficial for the staff and/or directors to be aware of to help ensure the most positive experience possible for your camper and all participants.

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* 7. Please indicate any challenges the camper may have with developing and maintaining close, meaningful friendships.

You will receive an invoice in your email with instructions for paying the fee of $240. The fee is due upon receipt. Registration is not complete until the fee has been paid. If you would like information on scholarship opportunities, including making a donation, please contact Jeff Janney at jeff@northlandsupports or 816-379-1936.

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