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SUMMER CAMP
Registration
Student's First name
*
Last name
*
Birthday
*
Month
Day
Year
Incoming Grade
*
T-Shirt Size
*
Previous Stage Experience?
Yes
No
Primary Parent/ Guardian Contact
*
Primary Contact Cell Phone Number
*
Primary Contact Email Address
*
Mailing Address
*
Secondary Parent/ Guardian Contact
*
Secondary Contact Cell Phone Number
*
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