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Parent First Name *
Parent Last Name *
Mobile Phone
Email *
Zip
How Many Campers? *
- Select a Value - 1 2 3

Interested Camper Information

Camper 1 First Name
Camper 1 Division of Interest
- Select a Value - Lower Camp (Pre-K-2nd) Middle Camp (3rd-4th) Upper Camp (5th-8th) LEAD Program (9th) CIT Program (10th)
Camper 2 First Name
Camper 2 Division of Interest
- Select a Value - Lower Camp (Pre-K-2nd) Middle Camp (3rd-4th) Upper Camp (5th-8th) LEAD Program (9th) CIT Program (10th)
Camper 3 First Name
Camper3 Division of Interest
- Select a Value - Lower Camp (Pre-K-2nd) Middle Camp (3rd-4th) Upper Camp (5th-8th) LEAD (entering 9th Grade) CIT (entering 10th Grade)
• Anything else that we should know?

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