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Parent/Guardian/Participant Signature Print Parent/Guardian/Participant Name Date 1225 Camp Hanes Road King NC 27021 www. Authorized Branch staff for scheduled trips and outings. Acknowledgement of Risk of Injury/Release and Waiver. YMCA Camp Hanes 2017 Family Camp One family per form. Please feel free to make copies of this registration form. Family s Name Home Phone Address City Father s Name Father s Business Work Phone Family E-mail Address Cabin mate Preferred Must be mutual Emergency...
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