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Name of camper (first and last name): * Email: * Phone: * Emergency Contact Name: * Emergency Contact Phone Number: * Will your child be carpooling with anyone during camp? * YesNo If yes, please list name: Will your child be picked up by anything else besides the listed emergency contact? * YesNo If yes, list name(s) and contact phone number(s): Please list any questions or further information you would like to give us:
Gemma Bemma
Little Warthog
Playful Puppy
Big Heart