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65 Front Street PO Box 278 Patterson NY 12563 845. 878. 7200 www. pattersonrec.org CAMPER INFORMATION Last Name First Address City ST Zip / DOB Grade in 2017/18 July 5 6 7 9am - 3pm Age Registration Deadline Parent Cell Emergency Contact Name/Number Physician Name/Number List Allergies RATES None After Care 3-6 pm 35 W Th Fr / 20 daily Medical Concerns June 16 2017 Campers bring their own lunch and snack each day. Adult - Parent/Guardian - Participant Release Waiver In consideration for...
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