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2025 Hwy 150 Summer Camp Registration Form
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2025 Hwy 150 Summer Camp Registration Form
2025 Hwy 150 Summer Camp Registration Form
weballiance
2025-02-21T08:58:18-05:00
1 SC - 2025 Hwy 150 Summer Camp Registration Form
Please check week(s) you plan to attend:
*
Week 1: June 12 – June 13
Week 2: June 16 – June 20
Week 3: June 23 – June 27
Week 4 : June 30 – July 4
Week 5: July 7 – July 11
Week 6: July 14 – July 18
Week 7: July 21 – July 25
Week 8: July 28- August 1
Week 9: Aug 4 – August 8
Week 10 : Aug 11 – August 15
Week 11 : Aug 18 – August 20
Campers Full Name
*
Birth Date (00/00/0000)
*
School & Grade
*
T-Shirt Size
*
Home Address
*
City
*
Zip
*
Mother's name
Home Phone
*
Cell
*
Work Phone
Email
Father's Name
Home Phone
Cell
Work Phone
Email
Person(s) Authorized to pick up child(ren) other than parents. Please indicate relationship to family and contact telephone numbers:
Are there any physical / emotional conditions, special needs, medications, or any other general information about which we need to be informed?
YES
NO
If YES Please Explain
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If you are human, leave this field blank.
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