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SUMMER FRIENDS
CAMP REGISTRATION 2017
1ST Year Here?  YES____NO____

Last Name:______________________First Name:_______________________

Grade entering in Sept______

Age_____DOB_____________Boy___Girl_____

Address_______________________________________

City_______________________State______Zip______________

Home Phone_____________________email_______________________

Mother's Name:_________________________________

Mother's work phone:________________Cell_______________________

Father's Name:____________________________________

Father's work phone:_____________________Cell___________________

Person to call in case of emergency______________________________
Home phone________________Cell phone_______________________

2nd Emergency contact__________________________________
Home______________________Cell phone_______________________ 

PLEASE CHECK WEEKS DESIRED

Week 1: June 26 -June 30_______        Week 5: July 24-28_____
Week  2: July 3-7_____          Week 6: July 31-Aug 4 _____
Week 3: July 10-14_______              Week 7: Aug 7-11________
Week 4: July 17-21________              Week 8: Aug 14-18________
Week 9:______Aug 21-25 (Mini camp week - No pools)
Deposit:_______ Reg fee:______Check,Cash or CC__________
Check:    Full Week_______3 days_______2 days______

 
 
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