Camp Kindness Registration 2021

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2. Please provide the Parent/Guardian name, address, phone number and email below. This is for emergency contact purposes. (You will be asked to enter your child's information below.)

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Name:

 

 

   

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City/State/ZIP:

 

    

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What's this?

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Question - Required - Child's Date of Birth:




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(Maximum response 255 chars, approx. 5 rows of text)

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Question - Required - T-Shirt Size








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Question - Required - How did you hear about Camp Kindness
Please make between 1 and 8 selections from the choices below.

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