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Parent / Guardian Information
Primary Adult Contact
Parent/Legal Guardian's Full Name
*
Mobile Phone
*
Email
*
Address
*
Relationship To Child(ren)
*
Choose one
Secondary Adult Contact
Secondary Adult's Full Name
*
Mobile Phone
*
Email
*
Address
*
Relationship To Child(ren)
*
Choose one
Alternate Pick-up Person
Person(s) authorized to pick up camper:
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