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Registration Form Summer 2017 Camp Challenge Please check one DDD paid client Private pay client Participant s Name last first m.i. Does participant read and/or write Yes No 8. What is the participant s disability Please check all that apply to participant cerebral palsy MIMD MOMD Down syndrome hearing impaired visually impaired spina bifida learning disabilities burn injury spinal cord injury paralysis AIDS/HIV head injury depression juvenile arthritis fetal alcohol syndrome autism/Asperger...

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