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CAMP BLAZE SUMMER CAMP

REGISTRATION & CONTACT FORM

Parent/Guardian Name*

Address*

Phone*

Email Address*

Camper A Name*

Camper A DOB*

Camper B Name

Camper B DOB

Camper C Name

Camper C DOB

Weeks Attending*

I have more children attending

Please complete this registration form. Once you have submitted the form you will receive the Campers Contract and Payment Request.

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