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City of Blue Lake Parks & Recreation 2016 Summer Recreation: Camp PerigotREGISTRATION FORM NAME OF CHILD:AGE:PARENT/GUARDIAN: EMAIL: MAILING ADDRESS: PRIMARY PHONE:CITY:ZIP:OTHER PHONE:LIABILITY WAIVER
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The information reported on an i hereby give my statement may include the name of the individual giving consent, the action or request being consented to, and the date of the statement.
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