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Companion Camp Registration
Note: This camp is for kids 9-16 years of age.
First Name of Camper:
*
Last Name of Camper:
*
Age of Camper:
*
Shirt Size of Camper:
*
Adult Small
Adult Medium
Adult Large
Youth Small
Youth Medium
Youth Large
Which 2019 Companion Camp?
*
June 3-7, 2019
June 10-14, 2019
June 24-28, 2019
July 15-19, 2019
July 22-26, 2019
July 29-Aug 2, 2019
First Name of Parent:
*
Last Name of Parent:
*
Address:
*
City, State, and Zip:
*
Home Phone:
*
Work Phone:
Cell Phone:
Email:
*
If Dog is to be provided, leave dog's information blank.
Name of Dog:
Age of Dog:
Breed of Dog:
If Dog is to be provided, what breed is desired?
Additional Comments:
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