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DATE SIGNATURE OF PARENT OR LEGAL GUARDIAN STREET ADDRESS OF PARENT OR LEGAL GUARDIAN CITY/ STATE ZIP PHONE REQUIRED EMERGENCY INFORMATION NAME OF PARENT OR GUARDIAN NAME OF PARENT OR GUARDIAN MOTHERS EMPLOYMENT FATHERS EMPLOYMENT PHONE NO. PHONE NO. CELL NO. CELL NO. WORK NO. WORK NO. FAMILY PHYSICIAN EMERGENCY CONTACT W HEN P ARENT /G UARDIAN C ANNOT B E R EACHED OFFICE NO. CANCELLATION POLICY 20 charge per camp will be deducted from original camp fee and a letter of explanation sent to the...
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Office use only is information that is to be used and kept internal within a specific office or organization and should not be shared with external parties.
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