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Check Weeks Desired - $150.00 per week - $175.00 day camp with sleep over. |
June 28 - July 2 -July 4 parade
July 5 - July 9 with optional Sleep Over
July 12 - July 16
July 19 - July 23 with optional Sleep Over
July 26 - July 30
August 2 - August 6 with optional Sleep Over
August 9 - August 13
August 16 - August 20
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Is there anything physical, mental, or emotional about your child we should know?
Is there anything in particular you would like us to know about your child?
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Medical Information: Please bring a copy of child's up-to-date immunization record.
Date of Last Tetanus Shot: ____________________
Does child have: ____Heart Trouble ____Epilepsy ____Asthma ____Allergies
Does child take medications regularly? ____Yes ____No
If so, please list: _____________________________________________________________
Insurance Name:______________________________ Number:________________________
Doctor's Name: ____________________________ Telephone: __________________________
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Please complete and mail with your $25.00 non-refundable registration fee.
____Check/Money Order Enclosed ____MC/Visa #___________________ Ex Date__________
| Permission form will be mailed to you. |
We look forward to seeing you at camp! |