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Summer Camp Registration

#1 Child's First name*

#1 Child's Last name*

DOB Child #1*

Month

Day

Year

T-Shirt Size (child sizes)*

Small

Med

Large

X-Large

#2 Child's Firstname

#2 Child's Last name

DOB Child #2

Month

Day

Year

T-Shirt Size (child sizes)

Small

Med

Large

X-Large

Parent's First and Last Name *

Address

Email*

Phone*

CC Number*

Exp. Date*

CCV*

Start Date*

Month

Day

Year

Billing Address*

Signature

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