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APPLICATIONFORCAPENCAMPMENT, BTW, ORSPECIALACTIVITY Name(Last, First, MiddleInitial) MemberTypeCharterNo.(e.g.GLRMI059)Address(Include No., Street, City, StateandZipCode)CAPIDCAPGradeGradeinSchoolReligiousPreferenceHomePhoneNumberGenderCellPhoneNumberEMailAddress DateofBirth(mm/dd/by)ShirtSizeHeight(Inches)TitleofActivityWeight(Lbs)LocationofActivityHairColorEyeColorActivityDates
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