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NAME Date PARENTSIGNATURE DAYTIME PHONE Home Phone EMAIL Fax To Send Save to Desk Top. Locate on Send using Email Client CamperAPPLICATION Application 2017 CAMPER Lisa Perez 1401 S. Harbor Blvd 11C La Habra CA 90631 Is the camper Male Female Circle Adult Shirt Size SM M L XL XXL PRINT Campers Name Birth Date Age at Camp Address City State Zip E-mail Cell Phone Other Phone What language is spoken in the home Sunday July Saturday August 5th Sunday July30th 31 -Sunday Aug 7 2016 Is the camper...

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