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Summer Camp
Items marked (*) are required fields
Do you want more information,
or to register for camp
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Campers First Name (*)
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Last Name (*)
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Address 1 (*)
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Address 2
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City (*)
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State
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Postal Code (*)
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Primary Phone (*)
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Phone Type (*)
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Email Address (*)
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Best Time to Contact
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Best Place to Contact
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Birth Date - Enter this way (mm/dd/yyyy) or click Calendar for pop up
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How did you hear about our camp? Check all that apply
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Parent's Name (*)
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Are you or your child a CHHRC member?
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Has your child attended our camp in a previous year? (*)
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Camp program you are registering for (*)
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Full or Half Day Registration (*)
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Which week would you like to enroll? Select all that apply.
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Comments or Additional Information
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Join Email list?
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Enter the Verification Code (case sensitive) Enter the Verification Code (case sensitive)
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