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Please return this form to the camp office by June 1 2017. Camper s Name Grade as of Sept 2017 Sex M F EMERGENCY INFORMATION Parent/Guardian Name Home Cell/Work Physician s Name Phone DIET Please check one Camper eats a regular and varied diet. Camper eats a limited diet please be specific Is camper gluten-intolerant Yes No Is camper lactose-intolerant Yes No If yes please check one Camper uses a product like Lactaid and/or can self-manage the intolerance. Camper eats a limited diet...
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