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Summer Camp - Cross Country
Parent Information
First Name
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Last Name
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Email
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Phone Number
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Home Address
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City
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State
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Zip Code
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Participant Information
Participant's Full Name
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Date of Birth
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Grade in Fall 2019
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Insurance Carrier
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Insurance Policy Number
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Any Food Allergies?
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Emergency Contact Information
Emergency Contact Name
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Phone Number
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Relationship to Camp Attendee
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Signatures
I understand that fees will be student billed after camp.
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Primary Guardian's Electronic Signature
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Participant's Electronic Signature
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