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Youth Enrichment Camp Registration

NOTE: This form is for Youth Enrichment Camp Registration only.

Participant Name: *
Gender: *
Mailing Address: *
Emergency Contact Person:
No one under 16 of age will be allowed to pick up a child. Photo ID will be required for anyone other than parents when picking up children. Person MUST be listed here in order to pick up child.
Select all that apply
Camp Selection *