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Camper's Name
Age
Grade Completed This Year 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade
Parent/Guardian's Name
, AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Phone( ) -
Additional Amount you can pay:
Required deposit $50
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