Session 3 ~ Camp Wetoga

TEST EVENT

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This is for troubleshooting purposes only.

SKU:

Parent Info: Parent/Guardian Name * Maximum of 50 characters

Parent Info: Phone Number for Best Contact *

Parent Info: Email Address for Best Contact *

Camper Name (First and Last) *

Camper Info: Sex (M/F) Select all that apply M F

Camper Info: Last grade completed? (Please use a numerical grade such as "9" instead of 9th or ninth) * Maximum of 2 characters

Camper Info: Age at the time of Camp? (Please use a numerical value such as "9" instead of nine.

General: Name anyone with whom you would like your child to be in the same cabin. *

Health: Is the camper insured or uninsured? Select all that apply Insured Uninsured

Health: Insurance Company *

Health: Insurance Policy Number *

Health: Does the camper have any allergies? *

Health: Does the camper have any dietary restrictions? *

Health: Does the camper have any other health related issues that the camp should be aware of? *

Health: Does the camper have any physical, learning or behavioral disabilities? *

Quantity

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