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PREVIEW HUNTINGTON FAMILY YMCA Day Camp 2019 Child's Name: D.O.B. / / Address: City: Parent/Guardian Name(s): Phone: () Alternate Phone: () Email Address: EMERGENCY CONTACT INFORMATION (Please provide
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Alternate phone is a secondary phone number provided as an alternative means of contact.
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Individuals or entities required to provide contact information may be required to file alternate phone.
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