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2020 Youth Camp Registration June 15th-19th
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Student's Name
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Grade Child Will Be In Aug. 2020
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8th Grade
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Parent/Guardian Name
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Cell Phone Number
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Address
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Zip Code
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Parent/Guardian Email
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Student's Food Allergies
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Emergency Contact Name
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Emergency Contact Phone #
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Emergency Contact Relationship to Child
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Other Allergies or Medical Conditions
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May we have permission to photograph and/or video your student for use in church publications?
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Yes, you have permission to photograph/video my student.
No, I do not give permission to photograph/video my student.
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